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209 URGENT CARE
NPI 1215440631
Clinic/Center - Urgent Care in Modesto, CA

Active since November 07, 2017
1908 COFFEE RD STE 3, MODESTO, CA 95355(209) 846-9429(209) 551-1665 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2018, Aug 10, 2018, Aug 3, 2018 and 2 more (5 updates tracked since 2017).

About 209 Urgent Care NPPES

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

209 URGENT CARE (NPI 1215440631) is a healthcare organization registered as an urgent care in Modesto, California and active in the NPI registry since November 2017. The organization lists George I Jacob, President, as its authorized official.

NPPES Registry Identity

NPI1215440631
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSTANISLAUS HEALTH AND WELLNESS INC
Location Address1908 COFFEE RD STE 3Modesto, CA 95355
Mailing AddressPo Box 578700Modesto, CA 95357-8700 · (209) 551-0420 · Fax (209) 551-1665
Phone(209) 846-9429
Fax(209) 551-1665
Organization SubpartNo
Authorized OfficialGeorge I JacobPresident · (209) 846-9429
Enumeration DateNovember 7, 2017
Last NPPES UpdateSeptember 18, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2023
✔ NPI 1215440631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1908 COFFEE RD STE 3, Modesto, CA 95355
Open in Google Maps ↗

Other Names 1

Doing Business As209 Urgent Care

Other Identifiers 2

Other1447338355Npi
Other1225073307Npi

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2151767

Stanislaus Health And Wellness · Modesto, CA
Expired · Jul 25, 2026
CLIA Number05D2151767
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2024
Certificate Expiration DateJuly 25, 2026
Laboratory DirectorBaltej S. Dosanjh
Laboratory Phone(209) 846-9429
Laboratory LocationStanislaus Health And Wellness1908 Coffee Rd Ste 3, Modesto, CA 95355
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY MANALO AQUINO NP
Nurse Practitioner (Family)
1908 COFFEE RD STE 3
MODESTO, CA 95355
Stanislaus County (209) 846-9429
DR. MUHAMMAD A MATTU M.D.
Internal Medicine (Cardiovascular Disease)
1908 COFFEE RD STE 3
MODESTO, CA 95355
Stanislaus County (209) 846-9429
DR. RAVI GOGNA MD
Emergency Medicine
1908 COFFEE RD STE 3
MODESTO, CA 95355
Stanislaus County (209) 846-9429
RUTH A. THOMAS RN MSN FNP
Nurse Practitioner (Family)
1908 COFFEE RD STE 3
MODESTO, CA 95355
Stanislaus County (209) 846-9429
DR. GEORGE I JACOB D.C.
Chiropractor
1908 COFFEE RD STE 3
MODESTO, CA 95355
Stanislaus County (209) 985-0550
RAMIN LAIL FNP
Nurse Practitioner (Family)
1908 COFFEE RD STE 3
MODESTO, CA 95355
Stanislaus County (209) 846-9429

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 Stanislaus Health And Wellness Inc's NPI number?

The NPI number for Stanislaus Health And Wellness Inc is 1215440631. It was assigned to this organization in the NPPES registry on November 7, 2017. The provider is doing business as 209 Urgent Care.

Where is Stanislaus Health And Wellness Inc located?

Stanislaus Health And Wellness Inc is located at 1908 Coffee Rd Ste 3, Modesto, CA 95355. The listed phone number is (209) 846-9429.

What is Stanislaus Health And Wellness Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Stanislaus Health And Wellness Inc was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.