Organization Active NPI

Progressive Urgent Care Inc

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1164957486
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A113872 Issued in CA
Legal business name
PROGRESSIVE URGENT CARE INC
Practice address
801 17TH St
Modesto, CA 95354-1243
Phone
(209) 251-0200
NPI assigned
Apr 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Dr. Gurpreet Singh, M.D.NPI 1194780999
Title
President
Phone
(209) 485-6400

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X A113872 CA Primary

Addresses

Primary practice location

801 17TH St
Modesto, CA 95354-1243

Mailing address

4210 Dale Rd J8-140
Modesto, CA 95356-9232
Phone (209) 251-0200

Other practice location 1

501 Petaluma Ave
Sebastopol, CA 95472-4215
Phone (707) 824-4370

Other practice location 2

22101 Redwood Rd Ste A
Castro Valley, CA 94546-7107
Phone (209) 857-4787

Other names 1

  • PROGRESSIVE URGENT CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171020002717 CA Part B Supplier - Clinic/Group Practice 4587930425 Receives reassigned benefits from 7 practitioners
Practice locations: Castro Valley, CA; Sebastopol, CA; Modesto, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2159591Progressive Urgent Care Inc22101 Redwood Road Suite B, Castro Valley, CA 94546Certificate of waiverDec 19, 2026
05D2180007Progressive Urgent Care Inc801 17TH Street, Modesto, CA 95354Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

22101 Redwood Rd
#B
Castro Valley, CA 94546

22101 Redwood Rd
Ste B
Castro Valley, CA 94546
Phone (510) 605-5330

22101 Redwood Rd
Ste A
Castro Valley, CA 94546
Phone (209) 857-4787

801 17th St
Modesto, CA 95354
Phone (209) 251-0200

Practitioners & affiliated clinicians

Practitioners 7

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": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1164957486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 DALE RD J8-140",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569232",
            "telephone_number": "209-251-0200",
            "fax_number": "209-422-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 17TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541243",
            "telephone_number": "209-251-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Petaluma Ave",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
            "state": "CA",
            "postal_code": "954724215",
            "country_code": "US",
            "telephone_number": "707-824-4370",
            "fax_number": "707-249-4147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22101 Redwood Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945467107",
            "country_code": "US",
            "telephone_number": "209-857-4787",
            "fax_number": "209-248-7856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "GURPREET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-485-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A113872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROGRESSIVE URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROGRESSIVE URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.