Active NPI
Urdc Human Services Corporation
- Community Health Clinic/Center
- Pasadena, CA
National Provider Identifier
1891963393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- 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 CORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EAP70645F | Other | CA | EAPC |
Other names 1
- Bill Moore Community Health Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Urdc Human Services Corporation
- 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.
-
- Community Health Clinic/Center
- Monrovia, CA
- NPI 1780952879
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.