VITAL URGENT CARE, INC (NPI# 1417371477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417371477 |
| Entity Type | Organization |
| Organization Name | VITAL URGENT CARE, INC |
| Practice Address |
2507 Eastbluff Dr Newport Beach CA 92660-3504 |
| Practice Telephone | 9492001655 |
| Practice Fax Number | 9492001650 |
| Mailing Telephone | 9492001655 |
| Mailing Fax Number | 9492001650 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | ALIREZA KHAZAEIZADEH (CEO / PRESIDENT) |
| Authorized Official Telephone | 9493946175 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
A100885 | CA | Ambulatory Health Care Facilities |
| Street Address |
2507 EASTBLUFF DR |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821289265 | Lauren Walters Adams | Physician Assistant | 2507 Eastbluff Dr, Newport Beach, CA 92660-3504 | 2007-08-08 |
| 1427331255 | Outpatient Health Care, Inc. | Non-Pharmacy Dispensing Site | 2507 Eastbluff Dr, Newport Beach, CA 92660-3504 | 2011-09-28 |
| 1467744771 | Sarah Ayesha Khan | Physician Assistant | 2507 Eastbluff Dr, Newport Beach, CA 92660-3504 | 2011-05-04 |
| 1417274952 | Bahar Medical Group Inc | Specialist | 2507 Eastbluff Dr, Newport Beach, CA 92660-3504 | 2010-04-23 |
| 1346411477 | Alireza Khazaeizadeh | Specialist | 2507 Eastbluff Dr, Newport Beach, CA 92660-3504 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| 1467647909 | Outpatient Healthcare Inc. | Clinic/Center | 2507 Eastbluff Dr., Newport Beach, CA 92660 | 2007-09-07 |
| 1114089513 | Newport Urgent Care Incorporated | Clinic/Center | 1000 Bristol St N, Ste 1b, Newport Beach, CA 92660-8916 | 2006-12-14 |
| 1821043357 | Newport Walk In Medical Group, Inc. | Clinic/Center | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 2006-05-23 |
| 1225224389 | Riviera Medical Corporation | Clinic/Center | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2007-09-21 |
| 1700911484 | Alison Sims M.d., Inc. | Clinic/Center | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556440 | Cottage Clinical Network LLC | Clinic/Center | 7070 Hollister Ave Ste 103, Goleta, CA 93117-2895 | 2020-10-21 |
| 1780291047 | Ultra Urgent Care | Clinic/Center | 2875 W 7th St, Los Angeles, CA 90005-3907 | 2020-09-30 |
| 1780291351 | Care Now Urgentcare | Clinic/Center | 5236 Palm Ave, Whittier, CA 90601-2210 | 2020-09-28 |
| 1811503519 | We Care Urgent Care LLC | Clinic/Center | 11177 Tampa Ave Unit A, Northridge, CA 91326-2254 | 2020-09-17 |
| 1114531035 | Q & M Physician Assistant Corporation | Clinic/Center | 941 Kendall Dr Ste C, San Bernardino, CA 92407-4156 | 2020-09-08 |
| 1568070662 | Atlas Urgent Care Corporation | Clinic/Center | 5531 Business Park S, Bakersfield, CA 93309-1668 | 2020-07-15 |
| 1952927378 | Anaheim Urgent Care, Inc. | Clinic/Center | 28900 S. Western Ave, Ranchos Palos Verdes, CA 90275 | 2020-06-22 |
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1124643911 | Cottage Clinical Network, LLC | Clinic/Center | 3970 Broad St, San Luis Obispo, CA 93401-7097 | 2020-06-08 |
| 1861017659 | Cottage Clinical Network, LLC | Clinic/Center | 777 E Foothill Blvd # 777a775b, San Luis Obispo, CA 93405-1617 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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| 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.