Organization Active NPI

Ali Starkes Medical Group

Doing business as Southport Urgent Care

  • Urgent Care Clinic/Center
  • West Sacramento, CA
National Provider Identifier
1609109511
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ALI STARKES MEDICAL GROUP
Doing business as
Southport Urgent Care
Practice address
2455 Jefferson Blvd
Suite 100
West Sacramento, CA 95691-5313
Phone
(916) 226-6190
Fax
(916) 226-6195
NPI assigned
Sep 9, 2009
Organization subpart
Yes
Parent organization
ALI STARKES MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Margaret Kapasi
Title
Managing Administrator
Phone
(916) 501-0728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2455 Jefferson Blvd
Suite 100
West Sacramento, CA 95691-5313

Mailing address

3605 Agneta Court
C/O Micalimar & Associates
Elk Grove, CA 95758-0040
Phone (916) 226-6190

Other identifiers 1

IdentifierTypeStateIssuer
369430OtherCAFNP

Other names 1

  • SOUTHPORT URGENT CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ali Starkes Medical Group2 organizations share this tax ID, including this one
Part of
Ali Starkes Medical Group

Other organizations with this tax ID 1

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

Locations

2455 Jefferson Blvd
Ste 100
West Sacramento, CA 95691
Phone (916) 617-2377

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1609109511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 AGNETA COURT",
            "address_2": "C/O MICALIMAR & ASSOCIATES",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957580040",
            "telephone_number": "916-226-6190",
            "fax_number": "916-226-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 JEFFERSON BLVD",
            "address_2": "SUITE 100",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915313",
            "telephone_number": "916-226-6190",
            "fax_number": "916-226-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI STARKES MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALI STARKES MEDICAL GROUP",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "KAPASI",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MANAGING ADMINISTRATOR",
        "authorized_official_telephone_number": "916-501-0728"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "369430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHPORT URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.