PACIFIC URGENT CARE INC
NPI 1699755397
Clinic/Center - Urgent Care in Stockton, CA

NPI Status: Active since January 19, 2006

Contact Information

1782 W HAMMER LN
STOCKTON, CA
ZIP 95209
Phone: (209) 475-9500
Fax: (209) 475-9599

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 05D1033918
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 11-18-2026

About PACIFIC URGENT CARE INC

This page provides the complete NPI Profile along with additional information for Pacific Urgent Care Inc, a provider established in Stockton, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1699755397 assigned on January 2006. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Taymour Malak (Md Owner)

NPI
1699755397
Provider Name
PACIFIC URGENT CARE INC
Entity Type
Organization
Location Address
1782 W HAMMER LN STOCKTON, CA 95209
Location Phone
(209) 475-9500
Location Fax
(209) 475-9599
Mailing Address
4719 QUAIL LAKES DR PMB 244 SUITE G STOCKTON, CA 95207
Mailing Phone
(209) 475-9500
Mailing Fax
(209) 475-9599
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2006
Last Update Date
03-19-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TAYMOUR MALAK

Authorized Official Title
MD OWNER
Authorized Official Phone
(209) 475-9500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GR0098260MEDICAID (05)CA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1033918
Facility Type
Community Clinic
Certificate Effective Date
November 19, 2024
Certificate Expiration Date
November 18, 2026
Laboratory Director
TAYMOUR E. MALAK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pacific Urgent Care Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PACIFIC URGENT CARE INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699755397
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2618914510318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 4 + 5 + 1 + 0 + 3 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1699755397 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760873996 DEEMA AHMAD FNP
Individual
Nurse Practitioner (Family)1782 W HAMMER LN
STOCKTON, CA 95209
(209) 475-9500
1841572542 DAVID LOTH
Individual
Pharmacist1782 W HAMMER LN
STOCKTON, CA 95209
(669) 999-6870
1487108015DAVID LOTH
Organization
Pharmacy (Community/Retail Pharmacy)1782 W HAMMER LN
STOCKTON, CA 95209
(669) 999-6870
1437173689 RACHEL SANCHEZ PA
Individual
Physician Assistant1782 W HAMMER LN
STOCKTON, CA 95209
(209) 475-9500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699755397, enumerated in the NPI registry as an "organization" on January 19, 2006

The provider is located at 1782 W Hammer Ln Stockton, Ca 95209 and the phone number is (209) 475-9500

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D1033918 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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