SOUTHBAY URGENT CARE INC
NPI 1558746750
Clinic/Center - Urgent Care in San Diego, CA

NPI Status: Active since July 29, 2015

Contact Information

555 SATURN BLVD
SUITE B BOX 292
SAN DIEGO, CA
ZIP 92154
Phone: (619) 591-9999

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 05D2100477
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 08-13-2027

About SOUTHBAY URGENT CARE INC

This page provides the complete NPI Profile along with additional information for Southbay Urgent Care Inc, a provider established in San Diego, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1558746750 assigned on July 2015. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Kimberly Sheker Dickson Do (Owner)

NPI
1558746750
Provider Name
SOUTHBAY URGENT CARE INC
Entity Type
Organization
Location Address
555 SATURN BLVD SUITE B BOX 292 SAN DIEGO, CA 92154
Location Phone
(619) 591-9999
Mailing Address
1628 PALM AVE SAN DIEGO, CA 92154
Mailing Phone
(619) 591-9999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2015
Last Update Date
01-21-2016
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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

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

KIMBERLY SHEKER DICKSON DO

Authorized Official Title
OWNER
Authorized Official Phone
(619) 591-9999

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
05D2100477
Facility Type
Practitioner Other
Certificate Effective Date
August 14, 2025
Certificate Expiration Date
August 13, 2027
Laboratory Director
KIMBERLY SHEKER-DICKSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southbay Urgent Care Inc 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 1558746750, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
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 5 → 10 → 1 7 → 14 → 5 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 1 + 4 + 4 + 1 + 2 + 7 + 1 + 0 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1558746750.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Speech-Language Pathologist
555 SATURN BLVD, SUITE 361
SAN DIEGO, CA 92154

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558746750, enumerated as an "organization" on July 29, 2015.

The provider is located at 555 SATURN BLVD SUITE B BOX 292 SAN DIEGO, CA 92154 and the phone number is (619) 591-9999.

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