AGOURA HILLS URGENTOCARE PC
NPI 1043840465
Clinic/Center - Urgent Care in Agoura Hills, CA

Active since January 24, 2020CLIA 05D2182741 · Waiver
5825 KANAN RD, AGOURA HILLS, CA 91301(424) 355-1963 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 12, 2020, Jan 24, 2020 (2 updates tracked since 2020).

About Agoura Hills Urgentocare Pc NPPES

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

AGOURA HILLS URGENTOCARE PC (NPI 1043840465), doing business as Afc Urgent Care, is a healthcare organization registered as an urgent care in Agoura Hills, California and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through April 25, 2028, maintains a secondary practice location in Thousand Oaks, and lists Svetlana Kertanova, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043840465
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameAGOURA HILLS URGENTOCARE PC
Location Address5825 KANAN RDAgoura Hills, CA 91301-1651
Mailing Address5825 Kanan Rd Ste BAgoura Hills, CA 91301-1691 · (818) 483-0775
Organization SubpartNo
Authorized OfficialSvetlana KertanovaCeo · (818) 483-0775
Enumeration DateJanuary 24, 2020
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1043840465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
5825 KANAN RD, Agoura Hills, CA 91301

Other Names 1

Doing Business AsAfc Urgent Care

Secondary Practice Location 1

Location 1475 E Avenida De Los Arboles Ste BThousand Oaks, CA 91360-2993 · Phone (818) 483-0885 · Fax (818) 936-0775

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agoura Hills Urgentocare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Agoura Hills Urgentocare PC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner12
Family Practice2
General Surgery1
Internal Medicine1

Clinicians, nearest first (16)

Family Practice
NPI 1013545961
30839 E THOUSAND OAKS BLVD
Westlake Village, CA 91362
(818) 850-8707
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1851806301
32144 AGOURA RD STE 100
Westlake Village, CA 91361
(805) 557-7180
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1437795333
2845 COCHRAN ST STE B
Simi Valley, CA 93065
(818) 835-7355
✔ PECOS✔ Accepts Medicare8.7 mi
Nurse Practitioner
NPI 1952803462
2996 KILAINE DR
Simi Valley, CA 93063
(805) 587-1424
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1841907268
18700 VENTURA BLVD STE 220
Tarzana, CA 91356
(747) 307-3323
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1881212066
18370 BURBANK BLVD STE 204
Tarzana, CA 91356
(818) 342-0793
✔ PECOS✔ Accepts Medicare13 mi
General Surgery
NPI 1154380301
18350 ROSCOE BLVD SUITE #200
Northridge, CA 91325
(818) 885-7905
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1861384182
16256 HIAWATHA ST
Granada Hills, CA 91344
(818) 271-6035
✔ PECOS17 mi
Internal Medicine
NPI 1356335277
6360 WILSHIRE BLVD 414
Los Angeles, CA 90048
(323) 397-0897
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1205228699
26910 SIERRA HWY STE D8
Santa Clarita, CA 91321
(661) 388-5750
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1710320031
27341 ROSE MALLOW LN
Canyon Country, CA 91387
(661) 645-9357
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1225067812
3517 SUNSET LN
Oxnard, CA 93035
(805) 746-2781
✔ PECOS27 mi
Nurse Practitioner
NPI 1356545636
5250 RALSTON ST
Ventura, CA 93003
(805) 339-6400
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1972273381
43322 GINGHAM AVE
Lancaster, CA 93535
(818) 521-5013
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1528348273
1711 W KATELLA AVE
Anaheim, CA 92804
(714) 400-2959
✔ PECOS✔ Accepts Medicare53 mi
Nurse Practitioner
NPI 1912367814
45930 DAVIANA WAY
Temecula, CA 92592
(815) 275-2488
✔ PECOS✔ Accepts Medicare107 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2182741

Agoura Hills Urgentocare, PC Dba AFC Urgent Care Of Agoura Hills · Agoura Hills, CA
Active · expires Apr 25, 2028
CLIA Number05D2182741
Laboratory TypeUrgent Care
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorAdel F. Jabour
Laboratory Phone(818) 483-0775
Laboratory LocationAgoura Hills Urgentocare, PC Dba AFC Urgent Care Of Agoura Hills5825 Kanan Rd, #b, Agoura Hills, CA 91301
CLIA data matches this NPI record on: Address Name 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 Agoura Hills Urgentocare PC's NPI number?

The NPI number for Agoura Hills Urgentocare PC is 1043840465. It was assigned to this organization in the NPPES registry on January 24, 2020. The provider is doing business as AFC Urgent Care.

Where is Agoura Hills Urgentocare PC located?

Agoura Hills Urgentocare PC is located at 5825 Kanan Rd, Agoura Hills, CA 91301. The listed phone number is (424) 355-1963.

What is Agoura Hills Urgentocare PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Agoura Hills Urgentocare PC enrolled in Medicare?

Yes. Agoura Hills Urgentocare PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agoura Hills Urgentocare PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Agoura Hills Urgentocare PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Family Practice (2) and General Surgery (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Agoura Hills Urgentocare PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2182741) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Agoura Hills Urgentocare PC was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.