Prime Urgent Care Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PRIME URGENT CARE INC

Practice address

17609 Ventura Blvd Ste 106
Encino, CA 91316-3866

Phone

(818) 774-2755

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Ara Salazar

Title

Manager

Phone

(818) 774-2755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bettina Dennise Chua, FNP-C

  • Family Nurse Practitioner
  • Canyon Country, CA
  • NPI 1285489864
  Medicare reassignment Care Compare group NPD
• Sukhwinder Kaur

  • Family Nurse Practitioner
  • Woodland Hills, CA
  • NPI 1063115897
  Medicare reassignment Care Compare group NPD
• Shahram Salimitari, M.D.

  • Surgery Physician
  • Encino, CA
  • NPI 1043419484
  Medicare reassignment NPD
• Hooman Shabatian, M.D.

  • Surgery Physician
  • Encino, CA
  • NPI 1720201379

  Multi-Specialty

  Medicare reassignment NPD
• Moonsun Jeong, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1740863828
  NPD

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1659138444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 106",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163866",
            "telephone_number": "818-774-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 106",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163866",
            "telephone_number": "818-774-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-774-2755"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Healthcare Services - Encino LLC
• Prime Healthcare Services Encino LLC (Encino Hospital Medical Center)
• Prime Neurology, Inc.
• Prime Surgical Center of Encino, LLC
• Prime Ultrasound Services Inc
• Primo Medical Supplies
• Primo Medical Supplies Inc
• Priority Hospice Care Services, Inc.
• Prnrx Professional Pharmacy in, Inc (scriptsRus pharmacy)
• Pro Health Surgery Center

• Urgent Care Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.