Organization Active NPI

In His Image Family Clinic Inc

  • Urgent Care Clinic/Center
  • Northridge, CA
National Provider Identifier
1790123065
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
IN HIS IMAGE FAMILY CLINIC INC
Practice address
18251 Roscoe Blvd
Suite 105
Northridge, CA 91325-4200
Phone
(818) 718-0500
Fax
(818) 718-0501
NPI assigned
Jun 10, 2013
Last updated
Jun 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Joseph S Meshriky, MD
Title
Owner
Phone
(818) 718-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

18251 Roscoe Blvd
Suite 105
Northridge, CA 91325-4200

Mailing address

18251 Roscoe Blvd
Suite 105
Northridge, CA 91325-4200
Phone (818) 718-0500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1790123065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18251 ROSCOE BLVD",
            "address_2": "SUITE 105",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254200",
            "telephone_number": "818-718-0500",
            "fax_number": "818-718-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18251 ROSCOE BLVD",
            "address_2": "SUITE 105",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254200",
            "telephone_number": "818-718-0500",
            "fax_number": "818-718-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HIS IMAGE FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "MESHRIKY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-718-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.