Ennead Enterprises Corp.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

ENNEAD ENTERPRISES CORP.

Practice address

23501 Cinema Dr.
Suite 100
Valencia, CA 91355

Phone

(661) 255-2880

Fax

(661) 255-2190

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Scott Traber, RN

Title

President, Medical Affairs

Phone

(661) 255-2880

Specialties & licenses 1

Addresses

Other names 1

• S.C. Physicians Immediate Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hrak Derderian, M.D.

  • Emergency Medicine Physician
  • West Hills, CA
  • NPI 1619034725
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1922041870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 CAROL PARK PL",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201112",
            "telephone_number": "661-255-2880",
            "fax_number": "661-255-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23501 CINEMA DR.",
            "address_2": "SUITE 100",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-255-2880",
            "fax_number": "661-255-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNEAD ENTERPRISES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "TRABER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT, MEDICAL AFFAIRS",
        "authorized_official_telephone_number": "661-255-2880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.C. Physicians Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Encino Laser and Surgery Center
• Courtney Enfield
• Angel Engerran
• Douglas Marshall Engh, M.D. ,F.A.C.S., INC.
• Ennead Enterprises Corp
• Edgar Antonio Enriquez, M.D.
• Ariana Escala
• Monica Alexandra Escalante, RN
• Diana Escarcega
• Angelica Escobar, CCC-SLP

• Urgent Care Clinic/Center in Valencia, CA
• Providers in Valencia, 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 Apr 7, 2009; 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.