Active NPI
Hoover Clinica Urgencia
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1740958099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HOOVER CLINICA URGENCIA
- Practice address
- 1620 S Hoover St Ste B
Los Angeles, CA 90006-4910 - Phone
- (213) 275-1314
- Fax
- (213) 275-1456
- NPI assigned
- Sep 1, 2021
- 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
- Samira Javaherifar, NP
- Title
- Vice President
- Phone
- (818) 321-8486
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 208000000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1620 S Hoover St Ste B
Los Angeles, CA 90006-4910
Mailing address
1620 S Hoover St Ste B
Los Angeles, CA 90006-4910
Phone (213) 275-1314
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 |
|---|---|---|---|
| 05D2287570 | Hoover Clinica Urgencia | Certificate of waiver | Aug 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
1620 S Hoover St
Ste B
Los Angeles, CA 90006
Phone (213) 275-1314
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Tarzana, CA
- NPI 1255313458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721865600000",
"number": "1740958099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 S HOOVER ST STE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900064910",
"telephone_number": "213-275-1314",
"fax_number": "213-275-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 S HOOVER ST STE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900064910",
"telephone_number": "213-275-1314",
"fax_number": "213-275-1456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOOVER CLINICA URGENCIA",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-01",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A",
"authorized_official_last_name": "JAVAHERIFAR",
"authorized_official_first_name": "SAMIRA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "818-321-8486",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.