Organization Active NPI

Newbury Park Urgent Care

  • Clinic/Center
  • Newbury Park, CA
National Provider Identifier
1548238256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PA13286 Issued in CA
Legal business name
NEWBURY PARK URGENT CARE
Practice address
2080 Newbury Rd
Newbury Park, CA 91320-3387
Phone
(805) 499-0308
NPI assigned
Mar 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lynette M Henriod
Title
Practice Administrator
Phone
(805) 499-0308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PA13286 CA Primary

Addresses

Primary practice location

2080 Newbury Rd
Newbury Park, CA 91320-3387

Mailing address

177 Rimrock Rd
Thousand Oaks, CA 91361-5223
Phone (805) 557-2709

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548238256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 RIMROCK RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615223",
            "telephone_number": "805-557-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 NEWBURY RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203387",
            "telephone_number": "805-499-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURY PARK URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENRIOD",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "805-499-0308",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "PA13286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.