Organization Active NPI

Urdc Human Services Corporation

  • Community Health Clinic/Center
  • Pasadena, CA
National Provider Identifier
1891963393
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
URDC HUMAN SERVICES CORPORATION
Practice address
1460 N Lake Ave
Suite 107
Pasadena, CA 91104-2300
Phone
(626) 398-3796
Fax
(626) 398-3895
NPI assigned
Feb 19, 2008
Organization subpart
Yes
Parent organization
URDC HUMAN SERVICES CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Dr. Al Sorkin, PH.D.
Title
Executive Director
Phone
(626) 398-3796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X CA Primary

Addresses

Primary practice location

1460 N Lake Ave
Suite 107
Pasadena, CA 91104-2300

Mailing address

1460 N Lake Ave
Suite 107
Pasadena, CA 91104-2300
Phone (626) 398-3796

Other identifiers 1

IdentifierTypeStateIssuer
EAP70645FOtherCAEAPC

Other names 1

  • Bill Moore Community Health Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Urdc Human Services Corporation2 organizations share this tax ID, including this one
Part of
Urdc Human Services Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1460 N Lake Ave
Ste 107
Pasadena, CA 91104
Phone (626) 398-3796

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1891963393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N LAKE AVE",
            "address_2": "SUITE 107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042300",
            "telephone_number": "626-398-3796",
            "fax_number": "626-398-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N LAKE AVE",
            "address_2": "SUITE 107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042300",
            "telephone_number": "626-398-3796",
            "fax_number": "626-398-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URDC HUMAN SERVICES CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "URDC HUMAN SERVICES CORPORATION",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "SORKIN",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-398-3796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EAPC",
            "identifier": "EAP70645F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bill Moore Community Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.