NPIMap

Organization Active NPI

Adventist Health Physicians Network

  • Urgent Care Clinic/Center
  • Glendale, CA
National Provider Identifier
1407101447
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ADVENTIST HEALTH PHYSICIANS NETWORK
Practice address
801 S Chevy Chase Dr
Suite #105
Glendale, CA 91205-4431
Phone
(818) 265-2200
Fax
(818) 265-2201
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Kirby McKague
Title
Cfo
Phone
(916) 789-4209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

801 S Chevy Chase Dr
Suite #105
Glendale, CA 91205-4431

Mailing address

3191 Casitas Ave
Suite #216
Los Angeles, CA 90039-2468
Phone (323) 454-4485

Other names 1

  • Rapid Care Urgent Care-Glendale Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120726000175 CA Part B Supplier - Clinic/Group Practice 3274580972 Receives reassigned benefits from 135 practitioners
45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA; Moorpark, CA; San Luis Obispo, CA; Simi Valley, CA; Templeton, CA; Glendale, CA; La Canada, CA; Atascadero, CA

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

National Provider Directory

National Provider Directory

Locations

3191 Casitas Ave
Ste 216
Los Angeles, CA 90039

Practitioners & affiliated clinicians

Practitioners 2

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": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1407101447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 CASITAS AVE",
            "address_2": "SUITE #216",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392468",
            "telephone_number": "323-454-4485",
            "fax_number": "323-454-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR",
            "address_2": "SUITE #105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-265-2200",
            "fax_number": "818-265-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "MCKAGUE",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-789-4209"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapid Care Urgent Care-Glendale",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.