Organization Active NPI

Dr-Al Family and Urgent Care, PLC

  • Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1669629424
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0101236747 Issued in VA
Legal business name
DR-AL FAMILY AND URGENT CARE, PLC
Practice address
14914 Jefferson Davis Hwy
Woodbridge, VA 22191-4016
Phone
(540) 446-4706
Fax
(540) 658-1110
NPI assigned
Aug 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Dr. Liqaa Said Al-Khozaie, M.D.NPI 1063514552
Title
President of the Corporation
Phone
(540) 446-4706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0101236747 VA Primary

Addresses

Primary practice location

14914 Jefferson Davis Hwy
Woodbridge, VA 22191-4016

Mailing address

27 Crawford LN
Stafford, VA 22556-6473
Phone (540) 446-4706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090701000270 VA Part B Supplier - Clinic/Group Practice 9234280330 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1096343Dr Al Family and Urgent Care, PLC14914 Jefferson Davis Highway, Woodbridge, VA 22191Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

Locations

8401 Patterson Ave
Ste 203
Richmond, VA 23229
Phone (804) 741-0164

14914 Richmond Hwy
Woodbridge, VA 22191

Practitioners & affiliated clinicians

Practitioners 1

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": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1669629424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CRAWFORD LN",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225566473",
            "telephone_number": "540-446-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14914 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914016",
            "telephone_number": "540-446-4706",
            "fax_number": "540-658-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR-AL FAMILY AND URGENT CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "AL-KHOZAIE",
        "authorized_official_first_name": "LIQAA",
        "authorized_official_middle_name": "SAID",
        "authorized_official_title_or_position": "PRESIDENT OF THE CORPORATION",
        "authorized_official_telephone_number": "540-446-4706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0101236747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.