Organization Active NPI

San Ramon Urgent Care & Clinic

  • Urgent Care Clinic/Center
  • San Ramon, CA
National Provider Identifier
1487047189
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SAN RAMON URGENT CARE & CLINIC
Practice address
9140 Alcosta Blvd
Suite D
San Ramon, CA 94583-3858
Phone
(925) 361-5959
Fax
(925) 361-0375
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Rajesh Kumar Maheshwari, M.D.NPI 1740431246
Title
Owner
Phone
(925) 361-5959

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 Primary

Addresses

Primary practice location

9140 Alcosta Blvd
Suite D
San Ramon, CA 94583-3858

Mailing address

9140 Alcosta Blvd
Suite D
San Ramon, CA 94583-3858
Phone (925) 361-5959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160210002928 CA Part B Supplier - Clinic/Group Practice 0042514069 Receives reassigned benefits from 1 practitioner
Practice locations: San Ramon, CA

National Provider Directory

National Provider Directory

Locations

9140 Alcosta Blvd
San Ramon, CA 94583
Phone (925) 361-5959

9140 Alcosta Blvd
Ste D
San Ramon, CA 94583
Phone (925) 361-5959

Practitioners & affiliated clinicians

Practitioners 3

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": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1487047189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 ALCOSTA BLVD",
            "address_2": "SUITE D",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833858",
            "telephone_number": "925-361-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 ALCOSTA BLVD",
            "address_2": "SUITE D",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833858",
            "telephone_number": "925-361-5959",
            "fax_number": "925-361-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN RAMON URGENT CARE & CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "MAHESHWARI",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-361-5959",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.