Fairfax Urgent Care Group

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

FAIRFAX URGENT CARE GROUP

Practice address

332 Elden St
Herndon, VA 20170-4818

Phone

(571) 665-4001

Fax

(571) 665-4003

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmad Nusrat

Title

President

Phone

(703) 665-4001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1922540715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704818",
            "telephone_number": "571-665-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704818",
            "telephone_number": "571-665-4001",
            "fax_number": "571-665-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX URGENT CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "NUSRAT",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-665-4001"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfax Family Practice Centers PC
• Fairfax Family Practice Centers PC (Herndon Family Medicine)
• Fairfax Home Health Care, LLC
• Fairfax Radiological Consultants PC
• Fairfax Radiological Consultants PC
• Family Immediate Care,LLC
• Family Wellness Center Inc
• Farhang Farhang
• Tannaz Farnoudi, DC
• Sadaf Fatima

• Urgent Care Clinic/Center in Herndon, VA
• Providers in Herndon, VA by specialty
• Urgent Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.