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ST. JOHNS URGENT CARE & MEDICAL CORPORATION
NPI 1023524980
General Practice in Los Angeles, CA

Active since December 14, 2017
1138 N WESTERN AVE, LOS ANGELES, CA 90029(323) 957-9300(323) 957-9315 Get Directions Write a Review

NPPES record last updated: December 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2017, Dec 14, 2017 (2 updates tracked since 2017).

About St. Johns Urgent Care & Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JOHNS URGENT CARE & MEDICAL CORPORATION (NPI 1023524980) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since December 2017. The organization lists Mike Mansour Rostami, Medical Director/ Owner, as its authorized official.

NPPES Registry Identity

NPI1023524980
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameST. JOHNS URGENT CARE & MEDICAL CORPORATION
Location Address1138 N WESTERN AVELos Angeles, CA 90029-1702
Mailing Address1138 North Western AveLos Angeles, CA 90029-1702 · (323) 957-9300 · Fax (323) 957-9315
Phone(323) 957-9300
Fax(323) 957-9315
Organization SubpartYesParent: St .john Urgent Care & Medical Corporation
Authorized OfficialMike Mansour RostamiMedical Director/ Owner · (323) 957-9300
Enumeration DateDecember 14, 2017
Last NPPES UpdateDecember 20, 20172 updates tracked since enumeration
✔ NPI 1023524980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A50108
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1138 N WESTERN AVE, Los Angeles, CA 90029
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0975886

St John's Urgent Care & Medical Corporation · Los Angeles, CA
Expired · Jul 19, 2026
CLIA Number05D0975886
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2024
Certificate Expiration DateJuly 19, 2026
Laboratory DirectorMike M. Rostami, MD
Laboratory Phone(323) 957-9300
Laboratory LocationSt John's Urgent Care & Medical Corporation1119 N Western Avenue, Suite G, Los Angeles, CA 90029
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Johns Urgent Care & Medical Corporation's NPI number?

The NPI number for St. Johns Urgent Care & Medical Corporation is 1023524980. It was assigned to this organization in the NPPES registry on December 14, 2017.

Where is St. Johns Urgent Care & Medical Corporation located?

St. Johns Urgent Care & Medical Corporation is located at 1138 N Western Ave, Los Angeles, CA 90029. The listed phone number is (323) 957-9300.

What is St. Johns Urgent Care & Medical Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for St. Johns Urgent Care & Medical Corporation was last updated on December 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.