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FAMILY URGENT CARE
NPI 1144632076
Clinic/Center - Urgent Care in Lodi, CA

Active since May 27, 2014
1520 W KETTLEMAN LN, SUITE B, LODI, CA 95242(209) 339-3797(209) 339-3795 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Urgent Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY URGENT CARE (NPI 1144632076) is a healthcare organization registered as an urgent care in Lodi, California and active in the NPI registry since May 2014. The organization lists Tareq A Ali, President Of The Corporation, as its authorized official.

NPPES Registry Identity

NPI1144632076
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameFAMILY URGENT CARE
Location Address1520 W KETTLEMAN LN, SUITE BLodi, CA 95242-9290
Mailing Address1520 W Kettleman Ln, Suite BLodi, CA 95242-9290 · (209) 339-3797 · Fax (209) 339-3795
Phone(209) 339-3797
Fax(209) 339-3795
Organization SubpartYesParent: Tareq A Ali Md Apc
Authorized OfficialTareq A AliPresident Of The Corporation · (209) 339-3797
Enumeration DateMay 27, 2014
Last NPPES UpdateMay 28, 2014
✔ NPI 1144632076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in CA · A51048
1520 W KETTLEMAN LN, Lodi, CA 95242
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Other Identifiers 2

Medicare UPINF49243CA
Medicare PINGN602ACA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Urgent Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ryan Vaccarezza, NP
Nurse Practitioner
NPI 1982037040
975 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-3411
✔ PECOS✔ Accepts Medicare0.5 mi
Tareq Ali, M.D.
Emergency Medicine
NPI 1790722718
1520 W KETTLEMAN LN SUITE B
Lodi, CA 95242
(209) 339-3797
✔ PECOS✔ Accepts Medicare2.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Urgent Care's NPI number?

The NPI number for Family Urgent Care is 1144632076. It was assigned to this organization in the NPPES registry on May 27, 2014.

Where is Family Urgent Care located?

Family Urgent Care is located at 1520 W Kettleman Ln Suite B, Lodi, CA 95242. The listed phone number is (209) 339-3797.

What is Family Urgent Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Family Urgent Care enrolled in Medicare?

Yes. Family Urgent Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Urgent Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Family Urgent Care, in Emergency Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Family Urgent Care was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.