Organization Active NPI

The IV Medical Doctor, P.C

  • Urgent Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1447782149
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
THE IV MEDICAL DOCTOR, P.C
Practice address
11400 W Olympic Blvd
Suite 212
Los Angeles, CA 90064-1550
Phone
(844) 843-4836
NPI assigned
Mar 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Dr. Adam Nadelson, M.D.
Title
Ceo
Phone
(844) 843-4836

Specialties & licenses 1

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

Addresses

Primary practice location

11400 W Olympic Blvd
Suite 212
Los Angeles, CA 90064-1550

Mailing address

53 W 36TH St
Suite 204
New York, NY 10018-7903
Phone (844) 843-4836

National Provider Directory

National Provider Directory

Locations

11400 W Olympic Blvd
Ste 212
Los Angeles, CA 90064
Phone (844) 843-4836

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1447782149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W 36TH ST",
            "address_2": "SUITE 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187903",
            "telephone_number": "844-843-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 W OLYMPIC BLVD",
            "address_2": "SUITE 212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641550",
            "telephone_number": "844-843-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IV MEDICAL DOCTOR, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "NADELSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-843-4836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "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 Mar 31, 2017; 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.