Dr Owl Pediatrics, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A52192 Issued in CA

Legal business name

DR OWL PEDIATRICS, INC.

Doing business as

Dr Owl Pediatrics Kids Urgent Care

Practice address

6042 Bolsa Ave
Huntington Beach, CA 92647-2443

Phone

(714) 894-7242

Fax

(714) 894-7258

NPI assigned

Jan 19, 2007

Last updated

Jul 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Vergara

Title

President

Phone

(714) 894-7242

Specialties & licenses 1

Addresses

Other names 1

• Dr Owl Pediatrics Kids Urgent Care Doing business as

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1831242163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6042 BOLSA AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472443",
            "telephone_number": "714-898-1448",
            "fax_number": "714-894-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6042 BOLSA AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472443",
            "telephone_number": "714-894-7242",
            "fax_number": "714-894-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR OWL PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-894-7242",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A52192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Owl Pediatrics Kids Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.