MDSTAT URGENT CARE, INC (NPI# 1427421122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427421122 |
| Entity Type | Organization |
| Organization Name | MDSTAT URGENT CARE, INC |
| Other Organization Name | MD STAT URGENT CARE |
| Practice Address |
3860 El Dorado Hills Blvd Suite 601 El Dorado Hills CA 95762-4563 |
| Mailing Address |
484 Howe Ave Sacramento CA 95825-5507 |
| Practice Telephone | 9169419222 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | DR. JON MONESS (OWNER) |
| Authorized Official Telephone | 9166785291 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA MEDICAL LICENCE | A053163 | 01 |
| Other Name | Type Code |
|---|---|
| MD Stat Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194198705 | Mdstat Urgent Care, Inc | Clinic/Center | 300 Hawthorne Ave, Oakland, CA 94609-3103 | 2015-11-04 |
| 1407229107 | Mdstat Urgent Care, Inc | Clinic/Center | 851 Pleasant Grove Blvd, Suite 110, Roseville, CA 95678-6175 | 2015-11-04 |
| 1922273390 | Mdstat Urgent Care, Inc | Clinic/Center | 484 Howe Ave, Sacramento, CA 95825-5507 | 2008-04-28 |
| 1669845269 | Mdstat Urgent Care, Inc | Clinic/Center | 9221 Sierra College Blvd, Suite 100, Roseville, CA 95661-5919 | 2015-11-04 |
| 1578936274 | Mdstat Urgent Care, Inc | Clinic/Center | 7811 Laguna Blvd, Suite 161, Elk Grove, CA 95758-7941 | 2015-11-04 |
| 1932572542 | Mdstat Urgent Care, Inc | Clinic/Center | 4948 San Juan Ave, Fair Oaks, CA 95628-4606 | 2015-11-04 |
| Street Address |
3860 EL DORADO HILLS BLVD SUITE 601 |
| City | EL DORADO HILLS |
| State | CA |
| Zip Code | 95762-4563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326126004 | Jon M. Moness | Internal Medicine | 3860 El Dorado Hills Blvd, Suit # 601, El Dorado Hills, CA 95762-5507 | 2006-11-01 |
| 1023580446 | Deirdre Alice Mazzetto | Nurse Practitioner | 3860 El Dorado Hills Blvd, El Dorado Hills, CA 95762 | 2018-12-24 |
| 1538638523 | Sheryl Gerales | Nurse Practitioner | 3860 El Dorado Hills Blvd, El Dorado Hills, CA 95762-4563 | 2018-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611163 | Melanie Kim Dental Corporation | Dentist | 3381 Bass Lake Rd, Suite 140, El Dorado Hills, CA 95762 | 2020-02-13 |
| 1063042083 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3383 Bass Lake Rd, El Dorado Hills, CA 95762 | 2020-01-17 |
| 1427557230 | California Joint & Spine, LLC | Clinic/Center | 8135 Saratoga Way, El Dorado Hills, CA 95762 | 2018-02-07 |
| 1871008433 | Claire Maurenn Goss | Psychologist | 5406 Da Vinci Drive, El Dorado Hills, CA 95762 | 2017-12-05 |
| 1275063000 | Melinda Diane Keeler | Marriage & Family Therapist | 1150 Sunfast Lane, 2, El Dorado Hills, CA 95762 | 2017-06-14 |
| 1205379021 | Lauren Marie Shanks Rigsbee | Physical Therapist | 4990 Hillsdale Circle # 100, El Dorado Hills, CA 95762 | 2016-11-28 |
| 1962825935 | Wendy Pickren | Psychologist | 1150 Suncast Lane, Suite 2, El Dorado Hills, CA 95762 | 2014-01-28 |
| 1588087597 | Edwards Everhart Dental | Dentist | 1192 Suncast Lane, Suite 3, El Dorado Hills, CA 95762 | 2014-01-27 |
| 1447694542 | Ksenia Voronina | Psychiatry & Neurology | 1020 Suncast Lane, St 108, El Dorado Hills, CA 95762 | 2013-04-19 |
| 1205188471 | Pirasteh Guity Shafe | Pediatrics | 5001 Gresham Dr, El Dorado Hills, CA 95762 | 2012-10-11 |
| Find all providers in zip 95762 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556440 | Cottage Clinical Network LLC | Clinic/Center | 7070 Hollister Ave Ste 103, Goleta, CA 93117-2895 | 2020-10-21 |
| 1780291047 | Ultra Urgent Care | Clinic/Center | 2875 W 7th St, Los Angeles, CA 90005-3907 | 2020-09-30 |
| 1780291351 | Care Now Urgentcare | Clinic/Center | 5236 Palm Ave, Whittier, CA 90601-2210 | 2020-09-28 |
| 1811503519 | We Care Urgent Care LLC | Clinic/Center | 11177 Tampa Ave Unit A, Northridge, CA 91326-2254 | 2020-09-17 |
| 1114531035 | Q & M Physician Assistant Corporation | Clinic/Center | 941 Kendall Dr Ste C, San Bernardino, CA 92407-4156 | 2020-09-08 |
| 1568070662 | Atlas Urgent Care Corporation | Clinic/Center | 5531 Business Park S, Bakersfield, CA 93309-1668 | 2020-07-15 |
| 1952927378 | Anaheim Urgent Care, Inc. | Clinic/Center | 28900 S. Western Ave, Ranchos Palos Verdes, CA 90275 | 2020-06-22 |
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1124643911 | Cottage Clinical Network, LLC | Clinic/Center | 3970 Broad St, San Luis Obispo, CA 93401-7097 | 2020-06-08 |
| 1861017659 | Cottage Clinical Network, LLC | Clinic/Center | 777 E Foothill Blvd # 777a775b, San Luis Obispo, CA 93405-1617 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | EL DORADO HILLS |
| Zip Code | 95762 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.