Active NPI
Ocean Urgent Care, Inc.
- Emergency Medicine Physician
- Lawndale, CA
National Provider Identifier
1740906387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- OCEAN URGENT CARE, INC.
- Practice address
- 15603 Hawthorne Blvd
Lawndale, CA 90260-2639 - Phone
- (424) 262-2377
- NPI assigned
- Oct 17, 2022
- 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
- Mr. Ron Taub
- Title
- Authorized Official
- Phone
- (323) 706-4116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
15603 Hawthorne Blvd
Lawndale, CA 90260-2639
Mailing address
15603 Hawthorne Blvd
Lawndale, CA 90260-2639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2283221 | Ocean Urgent Care Inc | Certificate of waiver | Jun 1, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Torrance, CA
- NPI 1831123421
-
- Emergency Medicine Physician
- Lawndale, CA
- NPI 1174550487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1740906387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15603 HAWTHORNE BLVD",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902602639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15603 HAWTHORNE BLVD",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902602639",
"telephone_number": "424-262-2377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN URGENT CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-17",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "TAUB",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "323-706-4116",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawndale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.