Organization Active NPI

Patterson Urgent Care Inc

Doing business as Patterson Urgent Care and Wellness Center

  • Family Medicine Physician
  • Patterson, CA
National Provider Identifier
1902236169
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PATTERSON URGENT CARE INC
Doing business as
Patterson Urgent Care and Wellness Center
Practice address
1010 Sperry Ave Ste D
Patterson, CA 95363
Phone
(209) 892-3111
Fax
(209) 892-3112
NPI assigned
Nov 25, 2013
Last updated
Oct 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Renee M. Pimentel, FNPNPI 1124335732
Title
Owner
Phone
(209) 982-3111

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
Family Medicine Physician 207Q00000X CA Primary

Addresses

Primary practice location

1010 Sperry Ave Ste D
Patterson, CA 95363

Mailing address

PO Box 2906
Turlock, CA 95381-2906
Phone (209) 585-1066

Other names 1

  • Patterson Urgent Care and Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140707000775 CA Part B Supplier - Clinic/Group Practice 4183849128 Receives reassigned benefits from 2 practitioners
Practice locations: Patterson, 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
05D2081528Patterson Urgent Care and Work Wellness Center1010 Sperry Avenue, Ste D, Patterson, CA 95363Certificate of waiverJul 27, 2028

National Provider Directory

National Provider Directory

Locations

1010 Sperry Ave
Ste D
Patterson, CA 95363
Phone (209) 803-6006

Practitioners & affiliated clinicians

Practitioners 2

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": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1902236169",
    "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": "1010 SPERRY AVE STE D",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "95363",
            "telephone_number": "209-892-3111",
            "fax_number": "209-892-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-982-3111",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patterson Urgent Care and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Patterson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.