NPIMap

Organization Active NPI

Affordable Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Canoga Park, CA
National Provider Identifier
1992330690
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AFFORDABLE URGENT CARE, INC
Practice address
21300 Sherman Way Ste 3
Canoga Park, CA 91303-3672
Phone
(818) 900-2478
Fax
(818) 900-2478
NPI assigned
Mar 3, 2020
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Ms. Mona K
Title
Manager
Phone
(818) 900-2478

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

21300 Sherman Way Ste 3
Canoga Park, CA 91303-3672

Mailing address

21300 Sherman Way Ste 3
Canoga Park, CA 91303-3672
Phone (818) 900-2478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200825002838 CA Part B Supplier - Clinic/Group Practice 0840617676 Receives reassigned benefits from 6 practitioners
Practice locations: Canoga Park, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2193097Affordable Urgent Care, Inc21300 Sherman Way Ste 3, Canoga Park, CA 91303Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1992330690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 SHERMAN WAY STE 3",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033672",
            "telephone_number": "818-900-2478",
            "fax_number": "818-900-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 SHERMAN WAY STE 3",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033672",
            "telephone_number": "818-900-2478",
            "fax_number": "818-900-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "K",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-900-2478",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.