Organization Active NPI

Family Urgent Care & Industrial Medical Clinic, Inc.

  • Clinic/Center
  • Lancaster, CA
National Provider Identifier
1699926485
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
FNP24261 Issued in CA
Legal business name
FAMILY URGENT CARE & INDUSTRIAL MEDICAL CLINIC, INC.
Practice address
412 W Avenue J
Suite D
Lancaster, CA 93534-3685
Phone
(661) 729-4336
Fax
(661) 723-7635
NPI assigned
Oct 10, 2008
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY URGENT CARE & INDUSTRIAL MEDICAL CLINIC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Bruce E Fishman, M.D.NPI 1164587358
Title
President/Medical Director
Phone
(818) 808-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FNP24261 CA Primary

Addresses

Primary practice location

412 W Avenue J
Suite D
Lancaster, CA 93534-3685

Mailing address

16542 Ventura Blvd Ste 500
Encino, CA 91436-4510
Phone (818) 808-2828

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
05D1102653Family Urgent Care412 W Avenue J, Ste D, Lancaster, CA 93534Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory
Part of
Family Urgent Care Ind

Locations

412 W Avenue J
Ste D
Lancaster, CA 93534
Phone (661) 723-7635

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1699926485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 500",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364510",
            "telephone_number": "818-808-2828",
            "fax_number": "818-788-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W AVENUE J",
            "address_2": "SUITE D",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343685",
            "telephone_number": "661-729-4336",
            "fax_number": "661-723-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY URGENT CARE & INDUSTRIAL MEDICAL CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY URGENT CARE & INDUSTRIAL MEDICAL CLINIC, INC",
        "enumeration_date": "2008-10-10",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-808-2828",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "FNP24261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.