NPIMap

Organization Active NPI

Van Nuys Urgent Care Family Medicine Inc

  • Urgent Care Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1609280767
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A97912 Issued in CA
Legal business name
VAN NUYS URGENT CARE FAMILY MEDICINE INC
Practice address
7211 Van Nuys Blvd
Van Nuys, CA 91405-2256
Phone
(818) 988-2722
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Syrus Feridouni, M.D.
Title
President
Phone
(818) 744-4369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X A97912 CA Primary

Addresses

Primary practice location

7211 Van Nuys Blvd
Van Nuys, CA 91405-2256

Mailing address

7211 Van Nuys Blvd
Van Nuys, CA 91405-2256
Phone (818) 988-2722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141006002497 CA Part B Supplier - Clinic/Group Practice 7214157650 Receives reassigned benefits from 2 practitioners
Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16174/brand/3/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1609280767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052256",
            "telephone_number": "818-988-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052256",
            "telephone_number": "818-988-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN NUYS URGENT CARE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "FERIDOUNI",
        "authorized_official_first_name": "SYRUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-744-4369",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A97912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.