Organization Active NPI

Beverly Oaks Urgent Care Inc.

  • Urgent Care Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1609258565
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BEVERLY OAKS URGENT CARE INC.
Practice address
4910 Van Nuys Blvd Ste 306
Sherman Oaks, CA 91403-1770
Phone
(818) 986-9099
Fax
(818) 475-1303
NPI assigned
Jun 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Dr. Gevorg Mutafyan, M.D.
Title
President
Phone
(818) 986-9099

Specialties & licenses 1

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

Addresses

Primary practice location

4910 Van Nuys Blvd Ste 306
Sherman Oaks, CA 91403-1770

Mailing address

4910 Van Nuys Blvd Ste 306
Sherman Oaks, CA 91403-1770
Phone (818) 986-9099

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1609258565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD STE 306",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031770",
            "telephone_number": "818-986-9099",
            "fax_number": "818-475-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD STE 306",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031770",
            "telephone_number": "818-986-9099",
            "fax_number": "818-475-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY OAKS URGENT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "MUTAFYAN",
        "authorized_official_first_name": "GEVORG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-986-9099",
        "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 Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.