NPIMap

Organization Active NPI

WR Balboa Urgent Care Medicine

  • Urgent Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1962882266
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WR BALBOA URGENT CARE MEDICINE
Practice address
937 S Alvarado St
1D
Los Angeles, CA 90006-3067
Phone
(213) 263-2950
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Ms. Betzabe Wintermute
Title
O
Phone
(213) 263-2950

Specialties & licenses 1

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

Addresses

Primary practice location

937 S Alvarado St
1D
Los Angeles, CA 90006-3067

Mailing address

937 S Alvarado St
1D
Los Angeles, CA 90006-3067
Phone (213) 263-2950

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1962882266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 S ALVARADO ST",
            "address_2": "1D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063067",
            "telephone_number": "213-263-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 S ALVARADO ST",
            "address_2": "1D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063067",
            "telephone_number": "213-263-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WR BALBOA URGENT CARE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "WINTERMUTE",
        "authorized_official_first_name": "BETZABE",
        "authorized_official_title_or_position": "O",
        "authorized_official_telephone_number": "213-263-2950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 2, 2015; 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.