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PENINSULA URGENT CARE LLC
NPI 1659947455
Clinic/Center - Urgent Care in Torrance, CA

Active since June 02, 2021CLIA 05D2275952 · Waiver
5001 PACIFIC COAST HIGHWAY, TORRANCE, CA 90505(310) 994-9903(818) 887-4222 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2024, Jul 7, 2023, Jun 2, 2021 (3 updates tracked since 2021).

About Peninsula Urgent Care Llc NPPES

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

PENINSULA URGENT CARE LLC (NPI 1659947455) is a healthcare organization registered as an urgent care in Torrance, California and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Omer Deen, Owner, as its authorized official.

NPPES Registry Identity

NPI1659947455
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePENINSULA URGENT CARE LLC
Location Address5001 PACIFIC COAST HIGHWAYTorrance, CA 90505
Mailing Address5001 Pacific Coast HighwayTorrance, CA 90505 · (310) 994-9903 · Fax (818) 887-4222
Phone(310) 994-9903
Fax(818) 887-4222
Organization SubpartNo
Authorized OfficialOmer DeenOwner · (310) 994-5679
Enumeration DateJune 2, 2021
Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1659947455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
5001 PACIFIC COAST HIGHWAY, Torrance, CA 90505
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peninsula Urgent Care Llc 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 Peninsula Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Sam Chann, NP
Nurse Practitioner
NPI 1043095078
5001 PACIFIC COAST HWY
Torrance, CA 90505
(877) 782-0300
✔ PECOS✔ Accepts MedicareSame address
Robin Kucharik, FNP
Nurse Practitioner
NPI 1720627789
5001 PACIFIC COAST HWY
Torrance, CA 90505
(424) 455-2274
✔ PECOS✔ Accepts MedicareSame address
Babar Saeed, MD
Hospitalist
NPI 1093989618
5001 PACIFIC COAST HWY
Torrance, CA 90505
(877) 782-0300
✔ PECOS✔ Accepts MedicareSame address
Omer Deen, MD
Internal Medicine
NPI 1417123332
46 PENINSULA CTR
Rolling Hills Estates, CA 90274
(310) 994-5679
✔ PECOS✔ Accepts Medicare2.5 mi
Jung Hoon Park, NP
Nurse Practitioner
NPI 1093111627
3663 W 6TH ST STE 103
Los Angeles, CA 90020
(213) 388-5144
✔ 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 05D2275952

Peninsula Urgent Care · Torrance, CA
Active · expires Jan 30, 2027
CLIA Number05D2275952
Laboratory TypeIndependent
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorOmer Deen
Laboratory Phone(424) 455-2273
Laboratory LocationPeninsula Urgent Care5001 Pacific Coast Highway, Torrance, CA 90505
CLIA data matches this NPI record on: Address 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 Peninsula Urgent Care LLC's NPI number?

The NPI number for Peninsula Urgent Care LLC is 1659947455. It was assigned to this organization in the NPPES registry on June 2, 2021.

Where is Peninsula Urgent Care LLC located?

Peninsula Urgent Care LLC is located at 5001 Pacific Coast Highway, Torrance, CA 90505. The listed phone number is (310) 994-9903.

What is Peninsula Urgent Care LLC's specialty?

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

Is Peninsula Urgent Care LLC enrolled in Medicare?

Yes. Peninsula Urgent Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peninsula Urgent Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Peninsula Urgent Care LLC. 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), Hospitalist (1) and Internal Medicine (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peninsula Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2275952) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peninsula Urgent Care LLC was last updated on October 9, 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.