NPIMap

Organization Active NPI

La Palma Urgent & Family Care Inc.

  • Primary Care Clinic/Center
  • La Palma, CA
National Provider Identifier
1407090665
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
C42493 Issued in CA
Legal business name
LA PALMA URGENT & FAMILY CARE INC.
Practice address
7851 Walker St Ste 102
La Palma, CA 90623-1734
Phone
(714) 994-2273
Fax
(714) 994-2224
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Siddiq Ahmed Khawaja, ADMINISTRATOR
Title
Administrator
Phone
(714) 994-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X C42493 CA Primary

Addresses

Primary practice location

7851 Walker St Ste 102
La Palma, CA 90623-1734

Mailing address

7851 Walker St Ste 102
La Palma, CA 90623-1734
Phone (714) 994-2273

Other identifiers 2

IdentifierTypeStateIssuer
$$$$$$$$$OtherSOCIAL SECURITY
00C424931MedicaidCA

Other names 1

  • La Palma Urgent & Family Care Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1407090665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST STE 102",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231734",
            "telephone_number": "714-994-2273",
            "fax_number": "714-994-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST STE 102",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231734",
            "telephone_number": "714-994-2273",
            "fax_number": "714-994-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PALMA URGENT & FAMILY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "KHAWAJA",
        "authorized_official_first_name": "SIDDIQ",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-994-2273",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C42493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C424931",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Palma Urgent & Family Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.