Organization Active NPI

Immediate Healthcare Clinic, Inc.

  • Family Medicine Physician
  • North Hollywood, CA
National Provider Identifier
1730570763
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IMMEDIATE HEALTHCARE CLINIC, INC.
Practice address
11507 Oxnard St
# 3
North Hollywood, CA 91606-4809
Phone
(323) 633-9760
NPI assigned
Feb 12, 2015
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Mr. Arlene Torres Fabian, FNP-CNPI 1376988899
Title
President
Phone
(323) 633-9760

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CA
Family Medicine Physician 207Q00000X CA Primary

Addresses

Primary practice location

11507 Oxnard St
# 3
North Hollywood, CA 91606-4809

Mailing address

11507 Oxnard St
# 3
North Hollywood, CA 91606-4809
Phone (323) 633-9760

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
05D2136150Immediate Healthcare Clinic Inc11507 Oxnard St Unit 3, North Hollywood, CA 91606Certificate of waiverSep 4, 2027

National Provider Directory

National Provider Directory

Locations

11507 Oxnard St
Ste 3
North Hollywood, CA 91606
Phone (818) 508-3050

Practitioners & affiliated clinicians

Practitioners 3

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": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1730570763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11507 OXNARD ST",
            "address_2": "# 3",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064809",
            "telephone_number": "323-633-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11507 OXNARD ST",
            "address_2": "# 3",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064809",
            "telephone_number": "323-633-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE HEALTHCARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "FABIAN",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "TORRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-633-9760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.