NPIMap

Organization Active NPI

Usc Care Medical Group, Inc.

Doing business as Usc Psychiatric Urgent Care Center

  • Urgent Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1790962165
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
USC CARE MEDICAL GROUP, INC.
Doing business as
Usc Psychiatric Urgent Care Center
Practice address
1100 N State Street
A1D
Los Angeles, CA 90033
Phone
(323) 442-6018
Fax
(323) 442-6001
NPI assigned
Jan 28, 2008
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
USC CARE MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Ms. Melody Chun
Title
Secratery and Tresurer
Phone
(626) 457-4145

Specialties & licenses 1

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

Addresses

Primary practice location

1100 N State Street
A1D
Los Angeles, CA 90033

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (626) 457-5801

Other identifiers 1

IdentifierTypeStateIssuer
GR0100430MedicaidCA

Other names 1

  • USC PSYCHIATRIC URGENT CARE CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Usc Hlthcre Consult Ctr II13 organizations share this tax ID, including this one
Part of
Usc Hlthcre Consult Ctr II

Other organizations with this tax ID 12

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

Locations

1100 N State St
#A1D
Los Angeles, CA 90033
Phone (323) 442-6018

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1790962165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "626-457-5801",
            "fax_number": "626-457-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N STATE STREET",
            "address_2": "A1D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-442-6018",
            "fax_number": "323-442-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USC CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "USC CARE MEDICAL GROUP, INC.",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "SECRATERY AND TRESURER",
        "authorized_official_telephone_number": "626-457-4145",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USC PSYCHIATRIC URGENT CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 2008; 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.