Organization Active NPI

Stat Med PC a California Medical Professional Corporation

  • Urgent Care Clinic/Center
  • Brentwood, CA
National Provider Identifier
1265169643
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
STAT MED PC A CALIFORNIA MEDICAL PROFESSIONAL CORPORATION
Practice address
5951 Lone Tree Way Ste 100
Brentwood, CA 94513-5573
Phone
(925) 529-3470
Fax
(925) 529-3471
NPI assigned
Aug 4, 2022
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
STAT MED PC A CALIFORNIA MEDICAL PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Daniel Finnane
Title
Authorized Agent
Phone
(925) 234-4447

Specialties & licenses 1

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

Addresses

Primary practice location

5951 Lone Tree Way Ste 100
Brentwood, CA 94513-5573

Mailing address

901 Sunvalley Blvd Ste 100
Concord, CA 94520-5816

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230313002337 CA DME Supplier - Physician - Family Practice 1850528530 Practice locations: Brentwood, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Stat Med PC a California Medical Professional Corporation

Locations

5951 Lone Tree Way
Ste 100
Brentwood, CA 94513
Phone (925) 234-4447

970 Dewing Ave
#100B
Lafayette, CA 94549
Phone (925) 297-6396

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1265169643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SUNVALLEY BLVD STE 100",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 LONE TREE WAY STE 100",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135573",
            "telephone_number": "925-529-3470",
            "fax_number": "925-529-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MED PC A CALIFORNIA MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAT MED PC A CALIFORNIA MEDICAL PROFESSIONAL CORPORATION",
        "enumeration_date": "2022-08-04",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "FINNANE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "925-234-4447"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.

Verify at the official NPI Registry.