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MD STAT URGENT CARE
NPI 1407229107
Clinic/Center - Urgent Care in Roseville, CA

Active since November 04, 2015CLIA Certified · 2 labs
851 PLEASANT GROVE BLVD, SUITE 110, ROSEVILLE, CA 95678(916) 773-9222 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Md Stat Urgent Care NPPES

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

MD STAT URGENT CARE (NPI 1407229107) is a healthcare organization registered as an urgent care in Roseville, California and active in the NPI registry since November 2015. The organization holds 2 active CLIA laboratory certificates and lists Jon Moness, Owner, as its authorized official.

NPPES Registry Identity

NPI1407229107
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMDSTAT URGENT CARE, INC
Location Address851 PLEASANT GROVE BLVD, SUITE 110Roseville, CA 95678-6175
Mailing Address484 Howe AveSacramento, CA 95825-5507
Phone(916) 773-9222
Organization SubpartNo
Authorized OfficialJon MonessOwner · (916) 678-5291
Enumeration DateNovember 4, 2015
Last NPPES UpdateOctober 1, 2018
✔ NPI 1407229107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
851 PLEASANT GROVE BLVD, Roseville, CA 95678
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Other Names 1

Doing Business AsMd Stat Urgent Care

CLIA Laboratory Certificates CMS CLIA 2

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 05D2051914

Mdstat Urgent Care, Inc. · Sacramento, CA
Active · expires Jan 1, 2027
CLIA Number05D2051914
Laboratory TypeOutpatient Urgent Care
Certificate Effective DateJanuary 2, 2025
Certificate Expiration DateJanuary 1, 2027
Laboratory DirectorDanesh Wali
Laboratory Phone(916) 678-5291
Laboratory LocationMdstat Urgent Care, Inc.391 Howe Ave, Sacramento, CA 95825
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2084685

Mdstat Urgent Care, Inc · Fair Oaks, CA
Active · expires Sep 28, 2026
CLIA Number05D2084685
Laboratory TypeOutpatient Urgent Care
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorWali Danesh, MD
Laboratory Phone(916) 678-5291
Laboratory LocationMdstat Urgent Care, Inc4948 San Juan Ave, Fair Oaks, CA 95628
CLIA data matches this NPI record on: 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 Mdstat Urgent Care, Inc's NPI number?

The NPI number for Mdstat Urgent Care, Inc is 1407229107. It was assigned to this organization in the NPPES registry on November 4, 2015. The provider is doing business as MD Stat Urgent Care.

Where is Mdstat Urgent Care, Inc located?

Mdstat Urgent Care, Inc is located at 851 Pleasant Grove Blvd Suite 110, Roseville, CA 95678. The listed phone number is (916) 773-9222.

What is Mdstat Urgent Care, Inc's specialty?

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

Does Mdstat Urgent Care, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mdstat Urgent Care, Inc was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.