NPIMap

Organization Active NPI

GK Urgi Care Inc

Doing business as SJ Medical Clinic

  • Family Medicine Physician
  • Hemet, CA
National Provider Identifier
1023534328
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A60823 Issued in CA
Legal business name
GK URGI CARE INC
Doing business as
SJ Medical Clinic
Practice address
422 N San Jacinto St
Hemet, CA 92543-3124
Phone
(951) 566-6585
Fax
(888) 696-2590
NPI assigned
Aug 17, 2017
Organization subpart
No

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. Vidhya Venkata Koka, MD
Title
President
Phone
(951) 566-6585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A60823 CA Primary

Addresses

Primary practice location

422 N San Jacinto St
Hemet, CA 92543-3124

Mailing address

422 N San Jacinto St
Hemet, CA 92543-3124
Phone (951) 566-6585

Other names 1

  • SJ MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
GK Urgi Care Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023534328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433124",
            "telephone_number": "951-566-6585",
            "fax_number": "888-696-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433124",
            "telephone_number": "951-566-6585",
            "fax_number": "888-696-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GK URGI CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOKA",
        "authorized_official_first_name": "VIDHYA",
        "authorized_official_middle_name": "VENKATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-566-6585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJ MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, 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.