Stockton Urgent Care Medical Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A4979 Issued in CA

Legal business name

STOCKTON URGENT CARE MEDICAL CLINIC INC

Practice address

1148 W Hammer LN
Stockton, CA 95209-3011

Phone

(209) 952-9696

Fax

(209) 952-3414

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Raymond Birlew, D.O.

Title

President

Phone

(209) 952-9696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1477585925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 W HAMMER LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952093011",
            "telephone_number": "209-952-9696",
            "fax_number": "209-952-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 W HAMMER LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952093011",
            "telephone_number": "209-952-9696",
            "fax_number": "209-952-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTON URGENT CARE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "BIRLEW",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-952-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stockton Pregnancy Control Medical Clinic
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• Stockton Sleep Center Inc
• Stockton Sleep Disorders Medical Group LP
• Stockton Unified School District
• Nancy J Stockton, CMT
• Stocktonians Taking Action to Neutralize Drugs
• Lydia M Stoddard, RADT
• Lisa La Donna Stoddart, FNP
• Ayanna Aijanee Stoeckl

• Family Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.