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

NPI Status: Active since November 04, 2015

Contact Information

3860 EL DORADO HILLS BLVD
SUITE 601
EL DORADO HILLS, CA
ZIP 95762
Phone: (916) 941-9222

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 05D2084685
  • CLIA Cert. Type: Other - OUTPATIENT URGENT CARE
  • CLIA Exp. Date: 09-28-2026

About MD STAT URGENT CARE

This page provides the complete NPI Profile along with additional information for Md Stat Urgent Care, a provider established in El Dorado Hills, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1427421122 assigned on November 2015. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Md Stat Urgent Care. The authorized official of this NPI record is Dr. Jon Moness Md (Owner)

NPI
1427421122
Provider Legal Name
MDSTAT URGENT CARE, INC
Other Organization Name
MD STAT URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3860 EL DORADO HILLS BLVD SUITE 601 EL DORADO HILLS, CA 95762
Location Phone
(916) 941-9222
Mailing Address
484 HOWE AVE SACRAMENTO, CA 95825
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2015
Last Update Date
10-01-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JON MONESS MD

Authorized Official Title
OWNER
Authorized Official Phone
(916) 678-5291

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A053163OTHER (01)CACALIFORNIA MEDICAL LICENCE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2084685
Facility Type
Other - OUTPATIENT URGENT CARE
Certificate Effective Date
September 29, 2024
Certificate Expiration Date
September 28, 2026
Laboratory Director
WALI DANESH, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Md Stat Urgent Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427421122, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 8 + 2 + 2 + 1 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1427421122.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427421122, enumerated as an "organization" on November 04, 2015.

The provider is located at 3860 EL DORADO HILLS BLVD SUITE 601 EL DORADO HILLS, CA 95762 and the phone number is (916) 941-9222.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.