NPIMap

Organization Active NPI

Beverly Urgent Care Inc

Doing business as Beverly Urgent Care & Industrial Medicine

  • Urgent Care Clinic/Center
  • Montebello, CA
National Provider Identifier
1467902106
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A 39376 Issued in CA
Legal business name
BEVERLY URGENT CARE INC
Doing business as
Beverly Urgent Care & Industrial Medicine
Practice address
401 W Beverly Blvd
Montebello, CA 90640-3620
Phone
(323) 477-2200
Fax
(323) 597-1305
NPI assigned
Oct 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Lorenzo Angeles Briones, M.D.
Title
Medical Director
Phone
(323) 477-2200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X A 39376 CA
Urgent Care Clinic/Center 261QU0200X A 39376 CA Primary
Occupational Medicine Clinic/Center 261QX0100X A 39376 CA

Addresses

Primary practice location

401 W Beverly Blvd
Montebello, CA 90640-3620

Mailing address

401 W Beverly Blvd
Montebello, CA 90640-3620
Phone (323) 477-2200

Other names 1

  • BEVERLY URGENT CARE & INDUSTRIAL MEDICINE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1467902106",
    "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": "323-477-2200",
            "fax_number": "323-597-1305"
        },
        {
            "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": "323-477-2200",
            "fax_number": "323-597-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "BRIONES",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_middle_name": "ANGELES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-477-2200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A 39376",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A 39376",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CA",
            "license": "A 39376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEVERLY URGENT CARE & INDUSTRIAL MEDICINE",
            "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 Nov 10, 2016; 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.