Airport Urgent Care & Industrial Medicine a Professional Corporati

Organization Active NPI Urgent Care Clinic/Center · Inglewood, CA

NPI 1477866010 · NPPES record last updated Jul 2, 2026

Key facts

NPI
1477866010
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
AIRPORT URGENT CARE & INDUSTRIAL MEDICINE A PROFESSIONAL CORPORATI
Practice address
426 W Manchester Blvd
Inglewood, CA 90301-1110
Phone
(310) 215-3555
Fax
(310) 215-3587
NPI assigned
Jul 25, 2010
Organization subpart
No

Authorized official

Name
Jamshid James Shariati NPI 1134395320
Title
Ceo
Phone
(310) 215-3555

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110620000199 CA Part B Supplier - Clinic/Group Practice 9537347620 Receives reassigned benefits from 3 practitioners
Practice locations: Inglewood, CA; Montebello, CA
O20120829000645 CA DME Supplier - Physician - General Practice 9537347620 Practice locations: Inglewood, CA

National Provider Directory

Locations

1117 W Manchester Blvd
Ste L
Inglewood, CA 90301

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

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

Addresses

Primary practice location

426 W Manchester Blvd
Inglewood, CA 90301-1110

Mailing address

426 W Manchester Blvd
Inglewood, CA 90301-1110
Phone (310) 215-3555

Other providers in Inglewood, CA

All providers in Inglewood, CA · Urgent Care Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.