Stat Med PC a California Medical Professional Corporation
Organization Active NPI Urgent Care Clinic/Center · Brentwood, CA
NPI 1265169643 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1265169643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 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
- Organization subpart
- Yes
- Parent organization (as reported)
- STAT MED PC A CALIFORNIA MEDICAL PROFESSIONAL CORPORATION
Authorized official
- Name
- Daniel Finnane
- Title
- Authorized Agent
- Phone
- (925) 234-4447
Other NPIs with the same Medicare PAC ID 2
Practitioners 30
-
Kellie Jean Amador, M.S.N
-
Connie L Amorde, P.A.-C
-
Robert Assibey, M.D.
-
Loren D. Bauman, PA
-
John R Cercado, PA
-
Smita S Gyawali, PA
-
Aria Alokozai, PA-C
-
Brett V Curtis, M.D., J.D.
-
Debra Sue Goettsch, P.A.-C
-
Gerard V. Bland, MD
-
Richard R. Blohm, M.D.
-
Jennifer Grayzar, M.D.
-
Stephani Simon Luecker, D.O.
-
Maureen McGhee, PHYSICIAN ASSISTANT
-
Robert P. Mooney, MD
-
Margaret Helen Schmidt, MS, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230313002337 | CA | DME Supplier - Physician - Family Practice | 1850528530 | Practice locations: Brentwood, CA |
National Provider Directory
- Part of
- Stat Med PC a Ca
Locations
5951 Lone Tree Way
Ste 100
Brentwood, CA 94513
Phone (925) 234-4447
4465 1st St
Livermore, CA 94551
Phone (925) 234-4447
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
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
NPI Registry JSON
{
"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
- Dakota Spence
- Kaily Speth
- Khary D'Andre Spikes
- Japreet Singh Sran
- Lonni Rose Stanton
- Jenena Jamila Staton
- Shamika Renee Steele
- Ryan Steen
- Rachel L Stegman
- Ingrid Augusta Stevens-Farinas
All providers in Brentwood, CA · Urgent Care Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.