Mdstat Urgent Care, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MDSTAT URGENT CARE, INC

Practice address

484 Howe Ave
Sacramento, CA 95825-5507

Phone

(916) 678-5291

Fax

(916) 678-5299

NPI assigned

Apr 28, 2008

Reactivated

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon M Moness, M.D.NPI 1326126004

Title

Ceo

Phone

(916) 678-5291

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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.

• Jon M. Moness, MD

  • Family Medicine Physician
  • El Dorado Hills, CA
  • NPI 1326126004
  Medicare reassignment Authorized official
• Kyle Daniel Nefzger, APRN, FNP-C

  • Family Nurse Practitioner
  • El Dorado Hills, CA
  • NPI 1134873656
  Medicare reassignment NPD
• Franklin Roy Long, MD MPHTM

  • Family Medicine Physician
  • Walnut Creek, CA
  • NPI 1194744045
  NPD (past)
• Isabel Orellana, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Sacramento, CA
  • NPI 1770657876
  NPD (past)
• Jalal Soltanian-Zadeh, DO

  • Family Medicine Physician
  • Ione, CA
  • NPI 1962554196
  NPD (past)
• Dorothy Ann Zamborsky, PA-C

  • Medical Physician Assistant
  • Roseville, CA
  • NPI 1043305733
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1922273390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 HOWE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255507",
            "telephone_number": "916-678-5291",
            "fax_number": "916-678-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 HOWE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255507",
            "telephone_number": "916-678-5291",
            "fax_number": "916-678-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDSTAT URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2024-11-04",
        "deactivation_date": "2024-09-11",
        "reactivation_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "MONESS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-678-5291",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BJ231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MD Asaduzzaman Mazumder DDS Inc
• MD Ibrahim Khalil DDS PC
• MD Medical and Mobility Products
• MD Urgent Care Inc (MD Urgent Care)
• MDR Care LLC
• Nga Mead
• Julia Meade
• Cassandra Ruth Meadows
• Jacey Meadows
• Kacie Meadows

• Urgent Care Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.