NPIMap

Organization Active NPI

Jurkowski Medical Corporation

  • Urgent Care Clinic/Center
  • San Diego, CA
National Provider Identifier
1750644258
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
1750644258 Issued in CA
Legal business name
JURKOWSKI MEDICAL CORPORATION
Practice address
10605 Scripps Poway Pkwy
Suite C
San Diego, CA 92131-3925
Phone
(858) 622-0554
Fax
(858) 622-1417
NPI assigned
Jun 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Leonard A. Jurkowski, M.DNPI 1093758757
Title
Owner / President
Phone
(858) 622-0554

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X C43217 CA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X C43217 CA
Urgent Care Clinic/Center 261QU0200X 1750644258 CA Primary

Addresses

Primary practice location

10605 Scripps Poway Pkwy
Suite C
San Diego, CA 92131-3925

Mailing address

10605 Scripps Poway Pkwy
Suite C
San Diego, CA 92131-3925
Phone (858) 622-0554

Other identifiers 1

IdentifierTypeStateIssuer
GK976AOtherCAGROUP MEDICARE PTAN

Other names 1

  • MD Today Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120910000256 CA Part B Supplier - Clinic/Group Practice 7911155304 Receives reassigned benefits from 25 practitioners
Practice locations: San Diego, CA
O20161207000116 CA DME Supplier - Physician - General Practice 7911155304 Practice locations: San Diego, 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
05D2076085MD Today Urgent Care10605 Scripps Poway Pkwy Ste C, San Diego, CA 92131Certificate of waiverApr 10, 2028

National Provider Directory

National Provider Directory

Locations

10605 Scripps Poway Pkwy
Ste B
San Diego, CA 92131
Phone (858) 622-0554

10605 Scripps Poway Pkwy
Ste C
San Diego, CA 92131
Phone (858) 622-0554

10605 Scripps Poway Pkwy
San Diego, CA 92131
Phone (858) 622-0554

10605 Scripps Poway Pkwy
Ste Bc
San Diego, CA 92131

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1750644258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 SCRIPPS POWAY PKWY",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313925",
            "telephone_number": "858-622-0554",
            "fax_number": "858-622-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 SCRIPPS POWAY PKWY",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313925",
            "telephone_number": "858-622-0554",
            "fax_number": "858-622-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JURKOWSKI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "JURKOWSKI",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "858-622-0554",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C43217",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C43217",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "1750644258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "GK976A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Today Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MD Today Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.