Active NPI
Urgent Health Clinic Medical Group Inc
- Family Medicine Physician
- Glendale, CA
National Provider Identifier
1841370996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- URGENT HEALTH CLINIC MEDICAL GROUP INC
- Practice address
- 1141 E Colorado St
Glendale, CA 91205-1308 - Phone
- (818) 956-1141
- Fax
- (818) 547-4392
- NPI assigned
- Oct 16, 2006
- Last updated
- May 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry Vigilia
- Title
- President
- Phone
- (818) 956-1141
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1141 E Colorado St
Glendale, CA 91205-1308
Mailing address
1141 E Colorado St
Glendale, CA 91205-1308
Phone (818) 956-1141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0013050 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1141 E Colorado St
Glendale, CA 91205
Phone (818) 621-5000
Interoperability endpoints
- https://api.platform.athenahealth.com/7953/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1629275474
-
- Family Medicine Physician
- Glendale, CA
- NPI 1235224015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432598400000",
"number": "1841370996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 E COLORADO ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051308",
"telephone_number": "818-956-1141",
"fax_number": "818-547-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 E COLORADO ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051308",
"telephone_number": "818-956-1141",
"fax_number": "818-547-4392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URGENT HEALTH CLINIC MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2015-05-26",
"status": "A",
"authorized_official_last_name": "VIGILIA",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-956-1141"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0013050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.