Organization Active NPI

Elk Grove Urgent Care

  • Urgent Care Clinic/Center
  • Sacramento, CA
National Provider Identifier
1013214527
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ELK GROVE URGENT CARE
Practice address
7200 S Land Park Dr
Suite 100
Sacramento, CA 95831-3668
Phone
(916) 422-9110
Fax
(916) 226-2656
NPI assigned
Feb 17, 2011
Organization subpart
Yes
Parent organization
ELK GROVE URGENT CARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Allen Ichieh Lin, DO
Title
Medical Director
Phone
(916) 422-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X CA Primary

Addresses

Primary practice location

7200 S Land Park Dr
Suite 100
Sacramento, CA 95831-3668

Mailing address

7200 S Land Park Dr
Suite 100
Sacramento, CA 95831-3668
Phone (916) 422-9110

Other names 1

  • Sacramento Urgent Care Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Elk Grove Urgent Care Inc2 organizations share this tax ID, including this one
Part of
Elk Grove Urgent Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013214527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 S LAND PARK DR",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313668",
            "telephone_number": "916-422-9110",
            "fax_number": "916-226-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S LAND PARK DR",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313668",
            "telephone_number": "916-422-9110",
            "fax_number": "916-226-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK GROVE URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELK GROVE URGENT CARE INC.",
        "enumeration_date": "2011-02-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "ICHIEH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "916-422-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacramento Urgent Care Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.