Pacific Urgent Care INC
Clinic/Center, Urgent Care in Stockton, CA. Organization (NPI-2).
NPI number1699755397
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1699755397
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Urgent Care INC
- Organization subpart
- No
- Enumeration date
- Jan 19, 2006
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Practice location
1782 W Hammer LnStockton, CA 95209-2922
Phone 209-475-9500 · Fax 209-475-9599
Mailing address
4719 Quail Lakes DrPmb 244 Suite G
Stockton, CA 95207-5267
Phone 209-475-9500 · Fax 209-475-9599
Authorized official
Taymour Malak
MD Owner
2094759500
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All 9 Urgent Care Clinic/Center providers in Stockton · All 11,041 providers in Stockton
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