Organization Active NPI

California Urgent Care Center Professional Corporation

  • Urgent Care Clinic/Center
  • Stockton, CA
National Provider Identifier
1588959084
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CALIFORNIA URGENT CARE CENTER PROFESSIONAL CORPORATION
Practice address
8001 Lorraine Ave
Stockton, CA 95210
Phone
(209) 472-7400
NPI assigned
Jun 13, 2011
Last updated
Dec 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Authorized official

Name
Dr. Rami Georgies, M.D.NPI 1316116890
Title
Owner
Phone
(209) 298-5927

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

8001 Lorraine Ave
Stockton, CA 95210

Mailing address

PO Box 690910
Stockton, CA 95269-0910
Phone (209) 472-7400

Other practice location 1

2122 W Kettleman Ln
Lodi, CA 95242-4321
Phone (209) 224-8517

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110926000821 CA Part B Supplier - Clinic/Group Practice 4183895071 Receives reassigned benefits from 14 practitioners
Practice locations: Lodi, CA; Manteca, CA; Modesto, CA; Stockton, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2031166California Urgent Care8001 Lorraine Avenue, Stockton, CA 95210Certificate of waiverOct 12, 2027
05D2088149California Urgent Care Center2122 W Kettleman LN, Lodi, CA 95242Certificate of waiverDec 10, 2026

National Provider Directory

National Provider Directory

Locations

2122 W Kettleman Ln
Lodi, CA 95242
Phone (209) 224-8517

411 E Yosemite Ave
Manteca, CA 95336
Phone (209) 923-4701

4707 Greenleaf Ct
Ste B
Modesto, CA 95356
Phone (209) 846-0725

5361 N Pershing Ave
Ste A
Stockton, CA 95207
Phone (209) 472-7444

8001 Lorraine Ave
Stockton, CA 95210
Phone (209) 472-7400

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1588959084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690910",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952690910",
            "telephone_number": "209-472-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 LORRAINE AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95210",
            "telephone_number": "209-472-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 W Kettleman Ln",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952424321",
            "country_code": "US",
            "telephone_number": "209-224-8517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA URGENT CARE CENTER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "GEORGIES",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-298-5927",
        "authorized_official_name_prefix": "Dr.",
        "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 Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.