Canoga Park Urgent Care Family Medicine
NPI 1487913810ActiveOrganization· General Practice· Canoga Park, CA
General Practice in Canoga Park, California, registered in NPPES in May 2012. The authorized official on file is Syrus Feridouni, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487913810 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2012 |
| Last updated in NPPES | Oct 22, 2024 |
| Certified by provider | Oct 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | A97912 | CA |
| General Practice | 208D00000X | A92103 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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