MEDESTATE INC. (NPI# 1508946476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508946476 |
| Entity Type | Organization |
| Organization Name | MEDESTATE INC. |
| Other Organization Name | EXCELCARE IMMEDIATE CARE CENTER |
| Practice Address |
3431 Broadway St Suite A-8 American Canyon CA 94503-1228 |
| Practice Telephone | 7076457229 |
| Practice Fax Number | 7076457431 |
| Mailing Telephone | 7076457229 |
| Mailing Fax Number | 7076457431 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-12-29 |
| Authorized Official Name | DR. KENNETH RICHARD BROOKS (PRESIDENT / CEO) |
| Authorized Official Telephone | 7076457229 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
00A0627550 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ExcelCare Immediate Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386959948 | Medestate Inc. | Clinic/Center | 3431 Broadway St, Suite A-8, American Canyon, CA 94503-1228 | 2010-08-06 |
| Street Address |
3431 BROADWAY ST SUITE A-8 |
| City | AMERICAN CANYON |
| State | CA |
| Zip Code | 94503-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720090863 | Julia Villa, D.d.s., Inc. | Clinic/Center | 3431 Broadway St, Suite A-7, American Canyon, CA 94503-1228 | 2006-08-13 |
| 1083036776 | Julia Villa | Dentist | 3431 Broadway St, Suite A-7, American Canyon, CA 94503-1228 | 2014-01-14 |
| 1184065823 | Newmd Urgent Care Center, Inc. | Clinic/Center | 3431 Broadway St, A8, American Canyon, CA 94503-1228 | 2013-07-10 |
| 1427308121 | The Medical Offices of Kenneth R Brooks, Professional Corporation | Clinic/Center | 3431 Broadway St, Suite A-8, American Canyon, CA 94503-1228 | 2012-09-11 |
| 1386959948 | Medestate Inc. | Clinic/Center | 3431 Broadway St, Suite A-8, American Canyon, CA 94503-1228 | 2010-08-06 |
| 1891810099 | Gary L Mccorkle | Physician Assistant | 3431 Broadway St, A8, American Canyon, CA 94503-1228 | 2007-03-20 |
| 1053429969 | Solano Family Physicans Medical Group Professional Corporation | Family Medicine | 3431 Broadway St, Suite A-8, American Canyon, CA 94503-1228 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134540073 | Zhz-zhz Li Vasquz-z | Acupuncturist | 126 Tapestry Lane, American Canyon, CA 94503 | 2013-12-19 |
| 1649611781 | Barbara Perry | Social Worker | 101 W American Canyon Rd Ste 508-171, American Canyon, CA 94503 | 2013-07-16 |
| 1053694554 | Lucia J Mijares | Pharmacist | 127 Summerwood Drive, American Canyon, CA 94503 | 2011-09-21 |
| 1285771725 | Marichelle Montano Othman | Internal Medicine | 3431 Napa-vallejo Hwy, Suite A2, American Canyon, CA 94503 | 2007-02-01 |
| 1316091309 | Joanne P. Rivera | Dentist | 120 W. American Canyon Rd., Suite M-8, American Canyon, CA 94503 | 2007-01-23 |
| 1710075387 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 7011 Main St., American Canyon, CA 94503 | 2006-10-10 |
| 1225514870 | Faris Gheith | Behavior Technician | 120 Theresa Ave, American Canyon, CA 94503 | 2018-07-17 |
| 1922524693 | Melissa Lai | Physical Therapist | 3975 Old Redwood Hwy, Medical Office Building 5, Suite 152, Santa Rosa, CA 94503 | 2017-08-15 |
| 1598089013 | Stephen Gregory Rasmussen | Chiropractor | 100 West American Canyon Rd Ste - K6, American Canyon, CA 94503-1083 | 2010-03-26 |
| 1144693664 | Melissa Ann Dingler | Registered Nurse | 2 Melvin Rd, American Canyon, CA 94503-1102 | 2015-11-05 |
| Find all providers in zip 94503 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679935753 | New Md & Urgent Care | Clinic/Center | 3431 Broadway St Ste A8, American Canyon, CA 94503-1228 | 2016-03-28 |
| 1184065823 | Newmd Urgent Care Center, Inc. | Clinic/Center | 3431 Broadway St, A8, American Canyon, CA 94503-1228 | 2013-07-10 |
| 1386959948 | Medestate Inc. | Clinic/Center | 3431 Broadway St, Suite A-8, American Canyon, CA 94503-1228 | 2010-08-06 |
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| 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 | AMERICAN CANYON |
| Zip Code | 94503 |
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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.