Organization Active NPI

US Primary and Urgent Care Inc

  • Primary Care Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1417355033
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101244708 Issued in VA
Legal business name
US PRIMARY AND URGENT CARE INC
Practice address
1342 Old Bridge Rd
Woodbridge, VA 22192-2708
Phone
(703) 490-0000
NPI assigned
Dec 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Ahmad Zia Ziaie, M.D.NPI 1245492578
Title
President
Phone
(703) 490-0000

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
Primary Care Clinic/Center 261QP2300X 0101244708 VA Primary

Addresses

Primary practice location

1342 Old Bridge Rd
Woodbridge, VA 22192-2708

Mailing address

1342 Old Bridge Rd
Woodbridge, VA 22192-2708
Phone (703) 490-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150205001634 VA Part B Supplier - Clinic/Group Practice 7113242504 Receives reassigned benefits from 2 practitioners
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

12800 Darby Brook Ct
Woodbridge, VA 22192
Phone (703) 490-3729

1342 Old Bridge Rd
Woodbridge, VA 22192
Phone (703) 490-0000

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": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1417355033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 OLD BRIDGE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922708",
            "telephone_number": "703-490-0000",
            "fax_number": "703-490-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 OLD BRIDGE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922708",
            "telephone_number": "703-490-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US PRIMARY AND URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "ZIAIE",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "ZIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-490-0000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101244708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.