NPIMap

Organization Active NPI

GK Urgi Care Inc

Doing business as Dr Koka's Clinic Inside Walmart

  • Family Medicine Physician
  • San Jacinto, CA
National Provider Identifier
1093238107
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A60821 Issued in CA
Legal business name
GK URGI CARE INC
Doing business as
Dr Koka's Clinic Inside Walmart
Practice address
1861 S San Jacinto Ave
San Jacinto, CA 92583-5605
Phone
(951) 566-6585
Fax
(888) 696-2590
NPI assigned
Jul 20, 2017
Last updated
Jul 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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 Physician 207Q00000X A60821 CA Primary

Addresses

Primary practice location

1861 S San Jacinto Ave
San Jacinto, CA 92583-5605

Mailing address

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

Other names 1

  • DR KOKA'S CLINIC INSIDE WALMART Doing business as

National Provider Directory

National Provider Directory
Tax ID family
GK Urgicareinc6 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1093238107",
    "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": "1861 S SAN JACINTO AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835605",
            "telephone_number": "951-566-6585",
            "fax_number": "888-696-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GK URGI CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "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": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR KOKA'S CLINIC INSIDE WALMART",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DR KOKA'S CLINIC INSIDE WALMART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.