Organization Active NPI

Aaa Urgent Care LLC

  • General Practice Physician
  • Panorama City, CA
National Provider Identifier
1780988915
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A81752 Issued in CA
Legal business name
AAA URGENT CARE LLC
Practice address
14400 Roscoe Blvd
Suite D
Panorama City, CA 91402-3001
Phone
(818) 893-5819
Fax
(818) 830-8421
NPI assigned
Jan 3, 2011
Last updated
Jan 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Yaroslav S Gofnung, M.D.
Title
Ceo
Phone
(818) 893-5819

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A81752 CA
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X A81752
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A81752 CA Primary

Addresses

Primary practice location

14400 Roscoe Blvd
Suite D
Panorama City, CA 91402-3001

Mailing address

14400 Roscoe Blvd
Suited
Panorama City, CA 91402-3001
Phone (818) 893-5819

National Provider Directory

National Provider Directory
Tax ID family
Aaa Urgent Care LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1780988915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 ROSCOE BLVD",
            "address_2": "SUITED",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023001",
            "telephone_number": "818-893-5819",
            "fax_number": "818-830-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 ROSCOE BLVD",
            "address_2": "SUITE D",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023001",
            "telephone_number": "818-893-5819",
            "fax_number": "818-830-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "GOFNUNG",
        "authorized_official_first_name": "YAROSLAV",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-893-5819",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A81752",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": "A81752",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A81752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.