Wilmington Urgent Care and Family Clinic Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A97561 Issued in CA

Legal business name

WILMINGTON URGENT CARE AND FAMILY CLINIC INC

Practice address

714 N Avalon Blvd
Wilmington, CA 90744-5809

Phone

(310) 522-4200

Fax

(310) 522-4224

NPI assigned

May 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Payam John Kahen, M.D.NPI 1902967557

Title

Medical Director

Phone

(310) 522-4200

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Payam John Kahen, M.D.

  • General Practice Physician
  • Wilmington, CA
  • NPI 1902967557
  Medicare reassignment NPD Authorized official
• Amber Turner, PA-C

  • Medical Physician Assistant
  • Huntington Beach, CA
  • NPI 1326520545
  Medicare reassignment
• Valentin De Anda Jr., PA

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1578237327
  NPD (past)

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1972863611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N. AVALON BLVD.",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "90744",
            "telephone_number": "310-522-4200",
            "fax_number": "310-522-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445809",
            "telephone_number": "310-522-4200",
            "fax_number": "310-522-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON URGENT CARE AND FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-28",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "KAHEN",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-522-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A97561",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charles Yarborough, L.AC.
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• Urgent Care Clinic/Center in Wilmington, CA
• Providers in Wilmington, 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 Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.