NPIMap

Organization Active NPI

Temple Community Clinic Urgentcare

  • Urgent Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1437589769
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
G81088 Issued in CA
Legal business name
TEMPLE COMMUNITY CLINIC URGENTCARE
Practice address
3755 Beverly Blvd Ste 300
Los Angeles, CA 90004-3539
Phone
(323) 664-4234
Fax
(323) 664-4235
NPI assigned
Nov 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Randall Aybar, M.D.
Title
Director
Phone
(323) 664-4234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G81088 CA
Urgent Care Clinic/Center 261QU0200X G81088 CA Primary

Addresses

Primary practice location

3755 Beverly Blvd Ste 300
Los Angeles, CA 90004-3539

Mailing address

3755 Beverly Blvd Ste 300
Los Angeles, CA 90004-3539
Phone (323) 664-4234

National Provider Directory

National Provider Directory
Tax ID family
Temple Community Clinic Urgentcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1437589769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 BEVERLY BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043539",
            "telephone_number": "323-664-4234",
            "fax_number": "323-664-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 BEVERLY BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043539",
            "telephone_number": "323-664-4234",
            "fax_number": "323-664-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE COMMUNITY CLINIC URGENTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "AYBAR",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-664-4234",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G81088",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "G81088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.