Active NPI
La Urgent Care & Occupational Medicine
- Urgent Care Clinic/Center
- Vernon, CA
National Provider Identifier
1700313004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Acupuncturist | 171100000X | |||
| General Practice Physician | 208D00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary | ||
| Occupational Medicine Clinic/Center | 261QX0100X | |||
| Physician Assistant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881885101 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.