Stat Med PC a California Medical Professional Corporation
Organization Active NPI Urgent Care Clinic/Center · Concord, CA
NPI 1508302977 · NPPES record last updated Jan 12, 2023
Key facts
- NPI
- 1508302977
- 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
- 901 Sunvalley Blvd
100
Concord, CA 94520-5899 - Phone
- (925) 234-4447
- Fax
- (925) 234-4448
- NPI assigned
- Jan 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Daniel Finnane
- Title
- Authorized Agent
- Phone
- (925) 234-4447
Other NPIs with the same Medicare PAC ID 2
Practitioners 15
-
Aria Alokozai, PA-C
-
Kellie Jean Amador, M.S.N
-
Connie L Amorde, P.A.-C
-
Robert Assibey, M.D.
-
Loren D. Bauman, PA
-
John R Cercado, PA
-
Brett V Curtis, M.D., J.D.
-
Debra Sue Goettsch, P.A.-C
-
Smita S Gyawali, PA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2102157 | Stat Med Urgent Care - Concord | Certificate of waiver | Sep 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170113001896 | CA | DME Supplier - Physician - General Practice | 1850528530 | Practice locations: Concord, CA |
National Provider Directory
Locations
901 Sunvalley Blvd
Ste 100
Concord, CA 94520
Phone (925) 234-4447
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
901 Sunvalley Blvd
100
Concord, CA 94520-5899
Mailing address
901 Sunvalley Blvd Ste 100
Concord, CA 94520-5816
Phone (925) 234-4447
Other names
- Stat Med Urgent Care
Other providers in Concord, CA
- Cheryl Lynn Stapleton
- Gwendolyn Starck
- Caryn Stark
- Rikki Starks
- Rachel Chaya Starr-Glass
- Kody Staubitz
- Danielle Lee Stead
- Taylor Leilani Steadman
- Ivy Stecher
- Eric Steelman
All providers in Concord, 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 Jan 12, 2023. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.