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, 2012CLIA 05D2046010 · Waiver

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: August 16, 2026.

On this page

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 holds a CLIA Waiver certificate valid through August 19, 2026 and 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

Open in Google Maps ↗

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 05D2046010

Canoga Park Urgent Care Family Medicine · Canoga Park, CA

Active · expires Aug 19, 2026

CLIA Number05D2046010

Laboratory TypePhysician Office

Certificate Effective DateAugust 20, 2024

Certificate Expiration DateAugust 19, 2026

Laboratory DirectorDaniel Radnia

Laboratory Phone(818) 564-4961

Laboratory LocationCanoga Park Urgent Care Family Medicine20905 Sherman Way St, Canoga Park, CA 91303

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TALAR FASSIH PA

Physician Assistant

20905 SHERMAN WAY
CANOGA PARK, CA 91303

Los Angeles County (818) 564-4961

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.

Does Canoga Park Urgent Care Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2046010) is associated with this NPI, valid through August 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 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.