PRIME URGENT CARE INC
NPI 1659138444
Clinic/Center - Urgent Care in Encino, CA

Active since February 28, 2024CLIA 05D2309337 · Waiver
17609 VENTURA BLVD STE 106, ENCINO, CA 91316(818) 774-2755 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prime Urgent Care Inc NPPES

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

PRIME URGENT CARE INC (NPI 1659138444) is a healthcare organization registered as an urgent care in Encino, California and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through August 12, 2028 and lists Ara Salazar, Manager, as its authorized official.

NPPES Registry Identity

NPI1659138444
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePRIME URGENT CARE INC
Location Address17609 VENTURA BLVD STE 106Encino, CA 91316-3866
Mailing Address17609 Ventura Blvd Ste 106Encino, CA 91316-3866 · (818) 774-2755
Organization SubpartNo
Authorized OfficialAra SalazarManager · (818) 774-2755
Enumeration DateFebruary 28, 2024
Last NPPES UpdateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
✔ NPI 1659138444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
17609 VENTURA BLVD STE 106, Encino, CA 91316

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prime Urgent Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Prime Urgent Care Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

General Surgery
NPI 1043419484
17609 VENTURA BLVD STE 106
Encino, CA 91316
(818) 774-2755
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1720201379
17609 VENTURA BLVD STE 106
Encino, CA 91316
(818) 774-2755
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063115897
5601 DE SOTO AVE
Woodland Hills, CA 91367
(818) 719-2000
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1043735939
11333 SEPULVEDA BLVD
Mission Hills, CA 91345
(818) 365-9531
✔ PECOS✔ Accepts Medicare8.5 mi
Nurse Practitioner
NPI 1285489864
19042 SOLEDAD CANYON RD
Canyon Country, CA 91351
(661) 251-6300
✔ PECOS✔ Accepts Medicare18 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 05D2309337

Prime Urgent Care · Encino, CA
Active · expires Aug 12, 2028
CLIA Number05D2309337
Laboratory TypePractitioner Other
Certificate Effective DateAugust 13, 2026
Certificate Expiration DateAugust 12, 2028
Laboratory DirectorSharam Salimitari
Laboratory Phone(818) 774-2757
Laboratory LocationPrime Urgent Care17609 Ventura Blvd # 106, Encino, CA 91316
CLIA data matches this NPI record on: Name
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 Prime Urgent Care Inc's NPI number?

The NPI number for Prime Urgent Care Inc is 1659138444. It was assigned to this organization in the NPPES registry on February 28, 2024.

Where is Prime Urgent Care Inc located?

Prime Urgent Care Inc is located at 17609 Ventura Blvd Ste 106, Encino, CA 91316. The listed phone number is (818) 774-2755.

What is Prime Urgent Care Inc's specialty?

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

Is Prime Urgent Care Inc enrolled in Medicare?

Yes. Prime Urgent Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Urgent Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Prime Urgent Care Inc. 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 (3) and General Surgery (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prime Urgent Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2309337) is associated with this NPI, valid through August 12, 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 Prime Urgent Care Inc was last updated on August 6, 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.