Norcal Urgent Care, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A54317 Issued in CA

Legal business name

NORCAL URGENT CARE, INC

Doing business as

Main Street Urgent Care, Inc.

Practice address

1040 N Main St
Manteca, CA 95336-3745

Phone

(209) 825-5155

Fax

(209) 825-6155

NPI assigned

Jul 21, 2006

Last updated

Nov 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jana Marie Anslinger

Title

Office Supervisor

Phone

(209) 825-5155

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Main Street Urgent Care, Inc. Doing business as

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

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 8

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.

• Rajesh Kumar Maheshwari, MD

  • Family Medicine Physician
  • San Ramon, CA
  • NPI 1740431246
  Medicare reassignment NPD
• Manjeet K Birring, FNP

  • Family Nurse Practitioner
  • Newman, CA
  • NPI 1013630995
  NPD
• Mandeep Chahal, FNP-C

  • Family Nurse Practitioner
  • Manteca, CA
  • NPI 1336909001

  Multi-Specialty

  NPD
• Ramandeep Kaur Randhawa, NP

  • Family Nurse Practitioner
  • Manteca, CA
  • NPI 1871218685
  NPD
• Janna Lynn Belletto, PA-C

  • Physician Assistant
  • Manteca, CA
  • NPI 1952696957
  NPD (past)
• Mobin P Ghavami, M.D.

  • Internal Medicine Physician
  • Lodi, CA
  • NPI 1447239744
  NPD (past)
• Taymour Edward Malak, M.D.

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1104931260
  NPD (past)
• Ramin Manshadi, MD

  • Cardiovascular Disease Physician
  • Stockton, CA
  • NPI 1629171202
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1760403125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "WOODBRIDGE",
            "state": "CA",
            "postal_code": "952580969",
            "telephone_number": "209-825-5155",
            "fax_number": "209-825-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N MAIN ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363745",
            "telephone_number": "209-825-5155",
            "fax_number": "209-825-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCAL URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "ANSLINGER",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "209-825-5155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A54317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1045635",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Urgent Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marichu Nisperos, PA-C
• Jasmine Noches
• Selia Noddin, BCBA
• Noel C David MD Inc
• Ricky Nolasco
• Norlinger Chiropractic Office, Inc.
• Lauri Northcutt
• Vinisha Noti
• Carmen Catherine Nunes, M.F.T
• Chloe Nunez

• Primary Care Clinic/Center in Manteca, CA
• Providers in Manteca, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.