Organization Active NPI

Rancho Cordova Medical Clinic

  • Urgent Care Clinic/Center
  • Rancho Cordova, CA
National Provider Identifier
1801285424
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A127254 Issued in CA
Legal business name
RANCHO CORDOVA MEDICAL CLINIC
Practice address
2890 La Loma Dr
Rancho Cordova, CA 95670-3308
Phone
(916) 376-7069
NPI assigned
Jan 20, 2015
Last updated
Jan 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Sultan YusufzaiNPI 1831479815
Title
Manager
Phone
(916) 376-7069

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)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X A127254 CA Primary

Addresses

Primary practice location

2890 La Loma Dr
Rancho Cordova, CA 95670-3308

Mailing address

2890 La Loma Dr
Rancho Cordova, CA 95670-3308
Phone (916) 376-7069

National Provider Directory

National Provider Directory
Tax ID family
Rancho Cordova Med Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2890 La Loma Dr
Rncho Cordova, CA 95670
Phone (916) 376-7069

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": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1801285424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 LA LOMA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956703308",
            "telephone_number": "916-376-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 LA LOMA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956703308",
            "telephone_number": "916-376-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO CORDOVA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "YUSUFZAI",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-376-7069"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A127254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.