URBAN MED (NPI# 1295019487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295019487 |
| Entity Type | Organization |
| Organization Name | URBAN MED |
| Practice Address |
408 W 11th St Los Angeles CA 90015-2102 |
| Practice Telephone | 2134068055 |
| Mailing Telephone | 2134068055 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2012-04-03 |
| Authorized Official Name | DR. STACEY NAITO (PHYSICIAN) |
| Authorized Official Telephone | 2134068055 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20A8154 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | BN7938244 | 01 |
| CA | LICENSE | 20A8154 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Urban Med Spa LLC | 12636 Prince Creek Dr, Parker, CO 80134 |
| New York State Corporations | URBAN MEDI TRANSPORT LLC | 36 Kron Street, Rochester, Ny 14619 |
| Colorado Business Entities | URBAN MEDIA COMMUNICATIONS OF COLORADO, INC. | 101 University Ave Ste 400, Palo Alto, CA 94301 |
| Colorado Business Entities | URBAN MEDIA NET, INC. | Urban Media Communications, 900 Arastradero Rd Bldg S1, Palo Alto, CA 94304 |
| Washington State Corporations | URBAN MEDIA NET, INC. | 300 Deschutes Way Sw Ste 208 Mc-csc1, Tumwater, WA 98501 |
| Colorado Business Entities | URBAN MEDIA OF COLORADO, INC. | 101 University Ave Ste 400, Palo Alto, CA 94301 |
| Virginia Business Entities | URBAN MEDIA OF VIRGINIA INC. | |
| Colorado Business Entities | Urban Media, LLC | 8566 Crooked Branch Lane, Colorado Springs, CO 80927 |
| System for Award Management (SAM) Entities | URBAN MEDICAL STAFFING LLC | 14900 Memorial Dr Apt 516, Houston, TX 77079-4078 |
| New York State Corporations | URBAN MEDICAL, P.C. | 100 Hilton Ave, #803, Garden City, New York 11530 |
| Street Address |
408 W 11TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902130057 | Urban Fit & Therapy Inc. | Chiropractor | 408 W 11th St, Los Angeles, CA 90015-2102 | 2009-09-22 |
| 1184179509 | Estherapy Acupuncture Inc. | Acupuncturist | 408 W 11th St, Los Angeles, CA 90015-2102 | 2016-08-16 |
| 1639543192 | Pattie Lin | Physical Therapist | 408 W 11th St, Los Angeles, CA 90015-2102 | 2015-11-20 |
| 1184091662 | Binh Ly | Physical Therapist | 408 W 11th St, Los Angeles, CA 90015-2102 | 2015-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851913917 | St Bishoy Medical Group | General Practice | 8545 Saturn St Apt 103, Los Angeles, CA 90035-3658 | 2020-05-12 |
| 1609403807 | Doctors On The Go Professional Group Corp. | General Practice | 3325 Wilshire Blvd Ste 210, Los Angeles, CA 90010-1718 | 2020-03-26 |
| 1568001584 | Ahdout Health Services, Inc. | General Practice | 2121 Avenue of The Stars # Ll20, Los Angeles, CA 90067-5010 | 2019-12-23 |
| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1972064004 | Divine Help Medical Group Inc | General Practice | 1711 W Temple St Unit 5613, Los Angeles, CA 90026-5421 | 2019-03-29 |
| 1942767801 | Plaza Health Services Inc. | General Practice | 11111 Santa Monica Blvd Ste 200, Los Angeles, CA 90025-3333 | 2019-02-27 |
| 1124536289 | Edward Meltser | General Practice | 469 N Alfred St, Los Angeles, CA 90048-2504 | 2018-01-11 |
| 1023524980 | St. Johns Urgent Care & Medical Corporation | General Practice | 1138 N Western Ave, Los Angeles, CA 90029-1702 | 2017-12-14 |
| 1992234199 | David Ghods | General Practice | 3631 Crenshaw Blvd Ste 109, Los Angeles, CA 90016-4869 | 2017-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
Please comment or provide details below to improve the information on URBAN MED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.