St. John'S Urgent Care & Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ST. JOHN'S URGENT CARE & MEDICAL CORPORATION

Practice address

1119 N Western Ave Ste G
Los Angeles, CA 90029-1070

Phone

(323) 957-9300

Fax

(323) 957-9315

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mike M Rostami Sr., M.DNPI 1720135726

Title

Physician/Ceo

Phone

(323) 957-9300

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mike Mansour Rostami, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1720135726
  NPD Authorized official
• Neil Katchman, D.O.

  • Internal Medicine Physician
  • San Jacinto, CA
  • NPI 1053366047
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1710073390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 N WESTERN AVE STE G",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291070",
            "telephone_number": "323-957-9300",
            "fax_number": "323-957-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 N WESTERN AVE STE G",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291070",
            "telephone_number": "323-957-9300",
            "fax_number": "323-957-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S URGENT CARE & MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "ROSTAMI",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "323-957-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. John of God Retirement and Care Center
• St. John'S Community Health
• St. John'S Community Health
• St. John'S Community Health
• St. John'S Community Health
• St. John'S Well Child & Family Center, Inc
• St. John'S Well Child and Family Center Inc
• St. John'S Well Child and Family Center, Inc.
• St. Johns Community Health
• St. Johns Community Health

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.