HOLY CROSS URGENT CARE, INC
NPI 1750894879
Clinic/Center - Urgent Care in Los Angeles, CA
About Holy Cross Urgent Care, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLY CROSS URGENT CARE, INC (NPI 1750894879) is a healthcare organization registered as an urgent care in Los Angeles, California and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through September 6, 2028 and lists Manuk Chulyan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holy Cross Urgent Care, Inc 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 Holy Cross Urgent Care, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 05D2154204
Holy Cross Urgent Care Inc · Los Angeles, CAFrequently 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 Holy Cross Urgent Care, Inc's NPI number?
The NPI number for Holy Cross Urgent Care, Inc is 1750894879. It was assigned to this organization in the NPPES registry on November 11, 2017.
Where is Holy Cross Urgent Care, Inc located?
Holy Cross Urgent Care, Inc is located at 4864 Santa Monica Blvd, Los Angeles, CA 90029. The listed phone number is (323) 661-2700.
What is Holy Cross Urgent Care, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Holy Cross Urgent Care, Inc enrolled in Medicare?
Yes. Holy Cross Urgent Care, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Holy Cross Urgent Care, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Holy Cross 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Holy Cross Urgent Care, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2154204) is associated with this NPI, valid through September 6, 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 Holy Cross Urgent Care, Inc was last updated on November 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Holy Cross Urgent Care, Inc · NPI 1750894879
Urgent Care organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since November 11, 2017.
## Identity
- **NPI:** 1750894879 (Entity type: Organization)
- **Enumerated:** November 11, 2017
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Manuk Chulyan, CEO
## Practice location
- **Address:** 4864 SANTA MONICA BLVD, Los Angeles, CA 90029-2634
- **Phone:** (323) 661-2700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Emergency Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750894879) · Data from the CMS NPPES public registry.