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

Active since November 07, 2017CLIA 05D2151767 · Waiver
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: November 01, 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 holds a CLIA Waiver certificate valid through July 25, 2028 and 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 209 Urgent Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Baltej Dosanjh, M.D.
Family Practice
NPI 1346536711
1401 SPANOS CT STE 205
Modesto, CA 95355
(209) 525-3199
✔ PECOS✔ Accepts Medicare0.2 mi

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

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
Active · expires Jul 25, 2028
CLIA Number05D2151767
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2026
Certificate Expiration DateJuly 25, 2028
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.

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.

Is Stanislaus Health And Wellness Inc enrolled in Medicare?

Yes. Stanislaus Health And Wellness Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stanislaus Health And Wellness Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Stanislaus Health And Wellness Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Stanislaus Health And Wellness Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2151767) is associated with this NPI, valid through July 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 3 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.