Organization Active NPI

Newbury Park Urgent Care Center LTD

  • Clinic/Center
  • Newbury Park, CA
National Provider Identifier
1821064239
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NEWBURY PARK URGENT CARE CENTER LTD
Practice address
2080 Newbury Rd
Suite B
Newbury Park, CA 91320-3387
Phone
(805) 499-0308
Fax
(805) 499-5648
NPI assigned
Feb 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Lynette Myfanway Henriod
Title
Practice Administrator
Phone
(805) 499-0308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CA Primary

Addresses

Primary practice location

2080 Newbury Rd
Suite B
Newbury Park, CA 91320-3387

Mailing address

2080 Newbury Rd
Suite B
Newbury Park, CA 91320-3387
Phone (805) 499-0308

National Provider Directory

National Provider Directory

Locations

2080 Newbury Rd
Newbury Park, CA 91320
Phone (805) 499-0308

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821064239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 NEWBURY RD",
            "address_2": "SUITE B",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203387",
            "telephone_number": "805-499-0308",
            "fax_number": "805-499-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 NEWBURY RD",
            "address_2": "SUITE B",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203387",
            "telephone_number": "805-499-0308",
            "fax_number": "805-499-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURY PARK URGENT CARE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HENRIOD",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "MYFANWAY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "805-499-0308",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.