Active NPI
Family Urgent Care
- Urgent Care Clinic/Center
- Lodi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- A51048
- Legal business name
- FAMILY URGENT CARE
- Practice address
- 1520 W Kettleman LN
Suite B
Lodi, CA 95242-9290 - Phone
- (209) 339-3797
- Fax
- (209) 339-3795
- NPI assigned
- May 27, 2014
- Last updated
- May 28, 2014
- Organization subpart
- Yes
- Parent organization
- TAREQ A ALI MD APC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tareq A Ali, MD
- Title
- President of the Corporation
- Phone
- (209) 339-3797
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | A51048 | CA | Primary |
Addresses
Primary practice location
1520 W Kettleman LN
Suite B
Lodi, CA 95242-9290
Mailing address
1520 W Kettleman LN
Suite B
Lodi, CA 95242-9290
Phone (209) 339-3797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Tareq a Ali MD Apc
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.
-
- Family Medicine Physician
- Lodi, CA
- NPI 1588919716
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Lodi, CA
- NPI 1790722718
-
- Nurse Practitioner
- Lodi, CA
- NPI 1982037040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401235200000",
"number": "1144632076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 W KETTLEMAN LN",
"address_2": "SUITE B",
"city": "LODI",
"state": "CA",
"postal_code": "952429290",
"telephone_number": "209-339-3797",
"fax_number": "209-339-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 W KETTLEMAN LN",
"address_2": "SUITE B",
"city": "LODI",
"state": "CA",
"postal_code": "952429290",
"telephone_number": "209-339-3797",
"fax_number": "209-339-3795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY URGENT CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TAREQ A ALI MD APC",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-28",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "TAREQ",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT OF THE CORPORATION",
"authorized_official_telephone_number": "209-339-3797",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "CA",
"license": "A51048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.