Organization Active NPI

Access Medical and Nursing Urgent Care Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Van Nuys, CA
National Provider Identifier
1396510087
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
ACCESS MEDICAL AND NURSING URGENT CARE INC
Practice address
6640 Van Nuys Blvd Ste 100a
Van Nuys, CA 91405-4678
Phone
(888) 988-7647
Fax
(888) 932-2444
NPI assigned
Nov 22, 2023
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shahrzad Forat, D.C, FNP-CNPI 1265799522
Title
Nurse Practitioner
Phone
(818) 645-8174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X NU Primary

Addresses

Primary practice location

6640 Van Nuys Blvd Ste 100a
Van Nuys, CA 91405-4678

Mailing address

21931 Woodland Crest Dr
Woodland Hills, CA 91364-5254
Phone (818) 645-8174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250813003822 CA Part B Supplier - Clinic/Group Practice 9133627599 Receives reassigned benefits from 1 practitioner
Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

6640 Van Nuys Blvd
Ste 100
Van Nuys, CA 91405
Phone (818) 645-8174

6640 Van Nuys Blvd
Ste 100A
Van Nuys, CA 91405
Phone (888) 988-7647

8215 Van Nuys Blvd
Ste 212
Van Nuys, CA 91402
Phone (818) 782-2757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1396510087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21931 WOODLAND CREST DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645254",
            "telephone_number": "818-645-8174",
            "fax_number": "888-932-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 VAN NUYS BLVD STE 100A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054678",
            "telephone_number": "888-988-7647",
            "fax_number": "888-932-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS MEDICAL AND NURSING URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "FORAT",
        "authorized_official_first_name": "SHAHRZAD",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "818-645-8174",
        "authorized_official_credential": "D.C, FNP-C"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.