Peninsula Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PENINSULA URGENT CARE LLC

Practice address

5001 Pacific Coast Highway
Torrance, CA 90505

Phone

(310) 994-9903

Fax

(818) 887-4222

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Omer Deen, MDNPI 1417123332

Title

Owner

Phone

(310) 994-5679

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.

• Omer J Deen, MD

  • Internal Medicine Physician
  • Rolling Hills Estates, CA
  • NPI 1417123332
  Medicare reassignment Care Compare group NPD Authorized official
• Sam Chann, NP

  • Family Nurse Practitioner
  • Torrance, CA
  • NPI 1043095078
  Medicare reassignment Care Compare group NPD
• Robin Kucharik, FNP

  • Family Nurse Practitioner
  • Torrance, CA
  • NPI 1720627789
  Medicare reassignment Care Compare group NPD
• Junghoon Park, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1093111627
  Medicare reassignment Care Compare group NPD
• Babar Saeed, MD

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1093989618
  Medicare reassignment NPD

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1659947455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 PACIFIC COAST HIGHWAY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-994-9903",
            "fax_number": "818-887-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 PACIFIC COAST HIGHWAY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-994-9903",
            "fax_number": "818-887-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "DEEN",
        "authorized_official_first_name": "OMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-994-5679",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shi-Kaung Peng, M.D., PHD
• Yue Peng, MD
• Peninsula Healthcare Center
• Peninsula Primary Care
• Peninsula Pulmonary Medical Associates
• Maneesh Suresh Penkar, M.D.
• Megan Kay Pennington
• Lorraine Perales
• Cion Adonis Peralta
• Perceptions Wellness Family Therapy Inc.

• Urgent Care Clinic/Center in Torrance, CA
• Providers in Torrance, 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 Oct 9, 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.