Organization Active NPI

Mymd Urgent Care

  • Urgent Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1841922648
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MYMD URGENT CARE
Practice address
8815 W Pico Blvd
Los Angeles, CA 90035-3301
Phone
(408) 416-5371
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Dr. Jonathan Shaun Melekh-Shalom, MD
Title
Owner/Ceo
Phone
(714) 514-2269

Specialties & licenses 1

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

Addresses

Primary practice location

8815 W Pico Blvd
Los Angeles, CA 90035-3301

Mailing address

PO Box 25908
Los Angeles, CA 90025-0908

Other names 1

  • MyMD Urgent Care a Medical Corporation Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2264050Mymd Urgent Care8815 Pico Blvd, Los Angeles, CA 90035Certificate of waiverJul 7, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1841922648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25908",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353301",
            "telephone_number": "408-416-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMD URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "MELEKH-SHALOM",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "714-514-2269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyMD Urgent Care a Medical Corporation",
            "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 Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.