Active NPI
Manteca Urgent Care, Inc
- Family Medicine Physician
- Manteca, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A89677
- Legal business name
- MANTECA URGENT CARE, INC
- Practice address
- 241 W Yosemite Ave
Manteca, CA 95336-5603 - Phone
- (209) 239-0320
- Fax
- (209) 239-0321
- NPI assigned
- Jul 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Min Wu, MD
- Title
- Ceo
- Phone
- (209) 585-1066
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A89677 | CA | Primary |
Addresses
Primary practice location
241 W Yosemite Ave
Manteca, CA 95336-5603
Mailing address
PO Box 2906
Turlock, CA 95381-2906
Phone (209) 585-1066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2135983 | Manteca Urgent Care | Certificate of waiver | Aug 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
241 W Yosemite Ave
Manteca, CA 95336
Phone (209) 239-0320
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Turlock, CA
- NPI 1073691572
-
- Family Medicine Physician
- Manteca, CA
- NPI 1053082776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508976000000",
"number": "1780107888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2906",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953812906",
"telephone_number": "209-585-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 W YOSEMITE AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953365603",
"telephone_number": "209-239-0320",
"fax_number": "209-239-0321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANTECA URGENT CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-20",
"last_updated": "2017-10-26",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "MIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-585-1066",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A89677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.