MD STAT URGENT CARE
NPI 1427421122
Clinic/Center - Urgent Care in El Dorado Hills, CA

Active since November 04, 2015CLIA 05D1084436 · Waiver
3860 EL DORADO HILLS BLVD, SUITE 601, EL DORADO HILLS, CA 95762(916) 941-9222 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 30, 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 1427421122) is a healthcare organization registered as an urgent care in El Dorado Hills, California and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Jon Moness, Owner, as its authorized official.

NPPES Registry Identity

NPI1427421122
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMDSTAT URGENT CARE, INC
Location Address3860 EL DORADO HILLS BLVD, SUITE 601El Dorado Hills, CA 95762-4563
Mailing Address484 Howe AveSacramento, CA 95825-5507
Organization SubpartNo
Authorized OfficialJon MonessOwner · (916) 678-5291
Enumeration DateNovember 4, 2015
Last NPPES UpdateOctober 1, 2018
NPI 1427421122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
3860 EL DORADO HILLS BLVD, El Dorado Hills, CA 95762

Other Names 1

Doing Business AsMd Stat Urgent Care

Other Identifiers 1

OtherA053163CA · California Medical Licence

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 05D1084436

Mdstat Urgent Care, Inc. · El Dorado Hills, CA
Active · expires Jan 8, 2027
CLIA Number05D1084436
Laboratory TypeOut Patient Urgent Care
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorWali A. Danesh
Laboratory Phone(916) 941-9222
Laboratory LocationMdstat Urgent Care, Inc.3860 El Dorado Hills Blvd., Suite 601, El Dorado Hills, CA 95762
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 2

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

Family Medicine
3860 EL DORADO HILLS BLVD, SUIT # 601
EL DORADO HILLS, CA 95762
Nurse Practitioner (Family)
3860 EL DORADO HILLS BLVD
EL DORADO HILLS, CA 95762

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 1427421122. 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 3860 El Dorado Hills Blvd Suite 601, El Dorado Hills, CA 95762. The listed phone number is (916) 941-9222.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1084436) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.