Pacific Urgent Care Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PACIFIC URGENT CARE INC

Practice address

1782 W Hammer LN
Stockton, CA 95209-2922

Phone

(209) 475-9500

Fax

(209) 475-9599

NPI assigned

Jan 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Taymour MalakNPI 1104931260

Title

MD Owner

Phone

(209) 475-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taymour Edward Malak, M.D.

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1104931260
  Medicare reassignment Care Compare group NPD Authorized official
• Haider M Nurzay, NP

  • Inpatient Obstetric Registered Nurse
  • Stockton, CA
  • NPI 1992208789
  Medicare reassignment Care Compare group NPD
• Deema Ahmad, FNP

  • Family Nurse Practitioner
  • Stockton, CA
  • NPI 1760873996
  Medicare reassignment NPD
• Christopher Wayne Morales-Phan, P.A.-C.

  • Physician Assistant
  • Elk Grove, CA
  • NPI 1194195875
  Medicare reassignment
• Sotiris T Papamichail, PAC

  • Physician Assistant
  • Sacramento, CA
  • NPI 1588716195
  Medicare reassignment

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1699755397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 QUAIL LAKES DR",
            "address_2": "PMB 244 SUITE G",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075267",
            "telephone_number": "209-475-9500",
            "fax_number": "209-475-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1782 W HAMMER LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952092922",
            "telephone_number": "209-475-9500",
            "fax_number": "209-475-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "MALAK",
        "authorized_official_first_name": "TAYMOUR",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "209-475-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Heart and Vascular Medical Group
• Pacific Kidney & Hypertension Inc
• Pacific Medical, Inc
• Pacific Medical, Inc.
• Pacific Sleep Disorders Center a California General Partnership
• Pacific Valley Recovery Center Incorporated
• Pacific Wound Center Medical Group, Inc.
• Jerrod Packard
• Danilo Alimboyoguen Pacpaco, P.T.
• Danielle Monique Pacrem

• Urgent Care Clinic/Center in Stockton, CA
• Providers in Stockton, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.