Northridge After Hours Pediatric Urgent Care, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A88991 Issued in CA

Legal business name

NORTHRIDGE AFTER HOURS PEDIATRIC URGENT CARE, INC

Practice address

504 S Sierra Madre Blvd
Pasadena, CA 91107-5240

Phone

(818) 361-5437

Fax

(626) 345-5335

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Janesri W De Silva, MD

Title

Owner

Phone

(747) 233-3295

Specialties & licenses 1

Addresses

Other names 1

• After Hours Pediatric Urgent Care Doing business as

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: 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)…

Practitioners 2

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

• Lourdes F Mosqueda, MD

  • Pediatrics Physician
  • South Pasadena, CA
  • NPI 1962557108
  NPD (past)
• Cze-Ja Tam

  • Pediatric Nurse Practitioner
  • Pasadena, CA
  • NPI 1366826547
  NPD (past)

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1508099409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S SIERRA MADRE BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075240",
            "telephone_number": "818-361-5437",
            "fax_number": "626-345-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S SIERRA MADRE BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075240",
            "telephone_number": "818-361-5437",
            "fax_number": "626-345-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRIDGE AFTER HOURS PEDIATRIC URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "DE SILVA",
        "authorized_official_first_name": "JANESRI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-233-3295",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A88991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "After Hours Pediatric Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "After Hours Pediatric Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald J Norquist, MD
• Georgianne Norris
• North East Los Angeles Psychology
• North Lake Health Care
• North Lake Rehab and Medical Center Inc
• Gregory D Northrop, MD
• Northwest Surgical Development of Pasadena LLC
• Chelsie Pace Norton
• Erin Norton, PSY.D.
• Notoirous Hospice Care Inc

• Pediatrics Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.