California Corporation Usmd Direct, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

C3440352 Issued in CA

Legal business name

CALIFORNIA CORPORATION USMD DIRECT, INC

Practice address

2021 Santa Monica Blvd Ste 710E
Santa Monica, CA 90404-2208

Phone

(310) 449-1415

NPI assigned

Feb 7, 2018

Organization subpart

No

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

Authorized official

Name

Fawad Zafar-Khan, MCNPI 1699827873

Title

President

Phone

(818) 489-4030

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Fawad Zafar-Khan, MD

  • Nephrology Physician
  • Santa Monica, CA
  • NPI 1699827873
  NPD (past) Authorized official
• Frederick J Karubian, MD

  • Nephrology Physician
  • Santa Monica, CA
  • NPI 1275613655
  NPD (past)

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1659870459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 710E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 710E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-449-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CORPORATION USMD DIRECT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "ZAFAR-KHAN",
        "authorized_official_first_name": "FAWAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-489-4030",
        "authorized_official_credential": "MC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "C3440352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelynn Cahoon, DPT
• Xiaomei Cai
• Candice Holly Caillouette, R.N.
• Madison Nicole Calabretta
• Calfornia Care Centers, Inc.
• California Iom Incorporated
• California Orthopaedic & Spine
• California Professional Medical Group, Inc.
• California Psychology Clinics, PC
• Jeffrey G Calso, DPT

• Urgent Care Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, 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 Feb 7, 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.