Urdc Human Services Corporation

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

960000932 Issued in CA

Legal business name

URDC HUMAN SERVICES CORPORATION

Practice address

513 E Lime Ave
Suite 101
Monrovia, CA 91016-2982

Phone

(626) 249-0850

Fax

(626) 249-0854

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Sandra L Arrivillaga

Title

Executive Director

Phone

(626) 398-3796

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bill Moore Community Health Clinic Other name

Tax ID family

Urdc Human Services Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Urdc Human Services Corporation

  • Community Health Clinic/Center
  • Pasadena, CA
  • NPI 1891963393
  NPD tax ID

Locations

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1780952879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N LAKE AVE",
            "address_2": "SUITE 107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042300",
            "telephone_number": "626-398-3796",
            "fax_number": "626-249-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E LIME AVE",
            "address_2": "SUITE 101",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162982",
            "telephone_number": "626-249-0850",
            "fax_number": "626-249-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URDC HUMAN SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "ARRIVILLAGA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-398-3796",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "960000932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70645F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bill Moore Community Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexis Urban
• Haley Urban
• Frank Urbancic
• Emily Urbieta
• Haven Trinity Urbina-Thierry
• Ashley Uren
• Kali Urenamarte
• Shayne Urgoiti
• Ruby Uriarte
• Yessica Uriarte

• Community Health Clinic/Center in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.