NPIMap

Organization Active NPI

GK Urgicare,Inc

Doing business as sj medical clinic

  • Urgent Care Clinic/Center
  • San Jacinto, CA
National Provider Identifier
1912175456
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A60821 Issued in CA
Legal business name
GK URGICARE,INC
Doing business as
sj medical clinic
Practice address
1695 S San Jacinto Ave
Suite a
San Jacinto, CA 92583
Phone
(951) 665-1100
Fax
(951) 665-1414
NPI assigned
Feb 19, 2008
Organization subpart
Yes
Parent organization
YESAs reported in NPPES

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 V Koka, MD
Title
Owner
Phone
(951) 665-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X A60821 CA Primary

Addresses

Primary practice location

1695 S San Jacinto Ave
Suite a
San Jacinto, CA 92583

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
A60821OtherCACALIF MEDICAL LICENSE

Other names 1

  • sj medical clinic Doing business as

National Provider Directory

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

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1912175456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE",
            "address_2": "SUITE A",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92583",
            "telephone_number": "951-665-1100",
            "fax_number": "951-665-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE",
            "address_2": "SUITE A",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92583",
            "telephone_number": "951-665-1100",
            "fax_number": "951-665-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GK URGICARE,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "KOKA",
        "authorized_official_first_name": "VIDHYA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-665-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A60821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF MEDICAL LICENSE",
            "identifier": "A60821",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sj medical clinic",
            "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.