NPIMap

Organization Active NPI

GK Urgi Care, Inc

Doing business as s j urgi care

  • Clinic/Center
  • San Jacinto, CA
National Provider Identifier
1770768814
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A60821 Issued in CA
Legal business name
GK URGI CARE, INC
Doing business as
s j urgi care
Practice address
1695 S. San Jacinto
Suite a
San Jacinto, CA 92583-0000
Phone
(951) 665-1100
NPI assigned
Jan 8, 2008
Last updated
Feb 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. Vidhya Koka, MD
Title
Shared Owner
Phone
(951) 665-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A60821 CA Primary

Addresses

Primary practice location

1695 S. San Jacinto
Suite a
San Jacinto, CA 92583-0000

Mailing address

1695 S. San Jacinto
Suite a
San Jacinto, CA 92583-0000
Phone (951) 665-1100

Other names 1

  • s j urgi care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
GK Urgi Care Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1579 S San Jacinto Ave
Ste B
San Jacinto, CA 92583
Phone (951) 260-0186

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1770768814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 S. SAN JACINTO",
            "address_2": "SUITE A",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925830000",
            "telephone_number": "951-665-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 S. SAN JACINTO",
            "address_2": "SUITE A",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925830000",
            "telephone_number": "951-665-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GK URGI CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "KOKA",
        "authorized_official_first_name": "VIDHYA",
        "authorized_official_title_or_position": "SHARED OWNER",
        "authorized_official_telephone_number": "951-665-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A60821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "s j urgi care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.