Organization Active NPI

Potomac Festival Urgent Care

  • Family Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1801087549
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
POTOMAC FESTIVAL URGENT CARE
Practice address
14527 Jefferson Davis Hwy
Woodbridge, VA 22191-2817
Phone
(703) 494-2434
Fax
(703) 499-9988
NPI assigned
Aug 7, 2007
Last updated
Dec 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Mrs. Rana Sandhar
Title
Manager
Phone
(703) 494-2434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

14527 Jefferson Davis Hwy
Woodbridge, VA 22191-2817

Mailing address

14527 Jefferson Davis Hwy
Woodbridge, VA 22191-2817
Phone (703) 494-2434

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1801087549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14527 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912817",
            "telephone_number": "703-494-2434",
            "fax_number": "703-499-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14527 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912817",
            "telephone_number": "703-494-2434",
            "fax_number": "703-499-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC FESTIVAL URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "SANDHAR",
        "authorized_official_first_name": "RANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-494-2434",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.