NPIMap

Organization Active NPI

Mdstat Urgent Care, Inc

Doing business as MD Stat Urgent Care

  • Urgent Care Clinic/Center
  • Roseville, CA
National Provider Identifier
1407229107
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MDSTAT URGENT CARE, INC
Doing business as
MD Stat Urgent Care
Practice address
851 Pleasant Grove Blvd
Suite 110
Roseville, CA 95678-6175
Phone
(916) 773-9222
NPI assigned
Nov 4, 2015
Last updated
Oct 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Dr. Jon Moness, MDNPI 1326126004
Title
Owner
Phone
(916) 678-5291

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
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

851 Pleasant Grove Blvd
Suite 110
Roseville, CA 95678-6175

Mailing address

484 Howe Ave
Sacramento, CA 95825-5507

Other names 1

  • MD Stat Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MD Stat Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

851 Pleasant Grove Blvd
Ste 110
Roseville, CA 95678
Phone (916) 773-9222

Practitioners & affiliated clinicians

Practitioners 37

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 37

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1407229107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 HOWE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 PLEASANT GROVE BLVD",
            "address_2": "SUITE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786175",
            "telephone_number": "916-773-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDSTAT URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "MONESS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-678-5291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Stat Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MD Stat Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.