Organization Active NPI

L a Urgent Care Medical Center

Doing business as Mobile Urgent Care

  • Urgent Care Clinic/Center
  • Montebello, CA
National Provider Identifier
1447641345
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A105315 Issued in CA
Legal business name
L A URGENT CARE MEDICAL CENTER
Doing business as
Mobile Urgent Care
Practice address
401 W Beverly Blvd
Montebello, CA 90640-3620
Phone
(235) 166-3613
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Dr. Jamshid J Shariati, MD
Title
Medical Director
Phone
(310) 403-7809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X A105315 CA Primary

Addresses

Primary practice location

401 W Beverly Blvd
Montebello, CA 90640-3620

Mailing address

401 W Beverly Blvd
Montebello, CA 90640-3620
Phone (235) 166-3613

Other names 1

  • Mobile Urgent Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2098256La Urgent Care Medical Center401 W Beverly Blvd, Montebello, CA 90640Certificate of waiverJun 30, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1447641345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403620",
            "telephone_number": "235-166-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403620",
            "telephone_number": "235-166-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L A URGENT CARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2024-08-06",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "SHARIATI",
        "authorized_official_first_name": "JAMSHID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-403-7809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A105315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.