Organization Active NPI

La Urgent Care & Occupational Medicine

  • Urgent Care Clinic/Center
  • Vernon, CA
National Provider Identifier
1700313004
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
LA URGENT CARE & OCCUPATIONAL MEDICINE
Practice address
4221 S Alameda St
Vernon, CA 90058-1601
Phone
(323) 676-5111
Fax
(323) 676-5112
NPI assigned
May 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Abel Quesada, MD
Title
Medical Director
Phone
(323) 676-5111

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X
Multi-Specialty Clinic/Center 261QM1300X
Urgent Care Clinic/Center 261QU0200X Primary
Occupational Medicine Clinic/Center 261QX0100X
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

4221 S Alameda St
Vernon, CA 90058-1601

Mailing address

4221 S Alameda St
Vernon, CA 90058-1601
Phone (323) 676-5111

Other identifiers 1

IdentifierTypeStateIssuer
1881885101MedicaidCA

National Provider Directory

National Provider Directory

Locations

4221 S Alameda St
Vernon, CA 90058
Phone (323) 676-5111

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700313004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 S ALAMEDA ST",
            "city": "VERNON",
            "state": "CA",
            "postal_code": "900581601",
            "telephone_number": "323-676-5111",
            "fax_number": "323-676-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S ALAMEDA ST",
            "city": "VERNON",
            "state": "CA",
            "postal_code": "900581601",
            "telephone_number": "323-676-5111",
            "fax_number": "323-676-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA URGENT CARE & OCCUPATIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "QUESADA",
        "authorized_official_first_name": "ABEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-676-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881885101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.