CANOGA PARK URGENT CARE FAMILY MEDICINE
NPI 1487913810
General Practice in Canoga Park, CA

Q: What is Canoga Park Urgent Care Family Medicine's specialty?

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

Active since May 04, 2012

20905 SHERMAN WAY, CANOGA PARK, CA 91303(818) 744-4369(310) 444-0606 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Canoga Park Urgent Care Family Medicine NPPES

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

CANOGA PARK URGENT CARE FAMILY MEDICINE (NPI 1487913810) is a healthcare organization registered as a general practice in Canoga Park, California and active in the NPI registry since May 2012. The organization lists Syrus Feridouni, President, as its authorized official.

NPPES Registry Identity

NPI1487913810

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCANOGA PARK URGENT CARE FAMILY MEDICINE

Location Address20905 SHERMAN WAYCanoga Park, CA 91303-1743

Mailing Address20905 Sherman WayCanoga Park, CA 91303-1743 · (818) 744-4369 · Fax (310) 444-0606

Phone(818) 744-4369

Fax(310) 444-0606

Organization SubpartNo

Authorized OfficialSyrus FeridouniPresident · (818) 744-4369

Enumeration DateMay 4, 2012

Last NPPES UpdateOctober 22, 2024

NPPES CertifiedOctober 22, 2024

✔ NPI 1487913810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in CA · A97912✔ Licensed in CA · A92103

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

20905 SHERMAN WAY, Canoga Park, CA 91303

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Canoga Park Urgent Care Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Canoga Park Urgent Care Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Syrus Feridouni, M.D.

Family Practice

NPI 1336271055

801 S CHEVY CHASE DR STE 250
Glendale, CA 91205

(818) 265-2264

✔ PECOS✔ Accepts Medicare20 mi

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

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 Canoga Park Urgent Care Family Medicine's NPI number?

The NPI number for Canoga Park Urgent Care Family Medicine is 1487913810. It was assigned to this organization in the NPPES registry on May 4, 2012.

Where is Canoga Park Urgent Care Family Medicine located?

Canoga Park Urgent Care Family Medicine is located at 20905 Sherman Way, Canoga Park, CA 91303. The listed phone number is (818) 744-4369.

What is Canoga Park Urgent Care Family Medicine's specialty?

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

Is Canoga Park Urgent Care Family Medicine enrolled in Medicare?

Yes. Canoga Park Urgent Care Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Canoga Park Urgent Care Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Canoga Park Urgent Care Family Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Canoga Park Urgent Care Family Medicine was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.