SOUTHBAY URGENT CARE INC
NPI 1558746750
Clinic/Center - Urgent Care in San Diego, CA
About Southbay Urgent Care Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHBAY URGENT CARE INC (NPI 1558746750) is a healthcare organization registered as an urgent care in San Diego, California and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Kimberly Sheker Dickson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southbay Urgent Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southbay Urgent Care Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 05D2100477
Southbay Urgent Care, Inc · San Diego, CAFrequently 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 Southbay Urgent Care Inc's NPI number?
The NPI number for Southbay Urgent Care Inc is 1558746750. It was assigned to this organization in the NPPES registry on July 29, 2015.
Where is Southbay Urgent Care Inc located?
Southbay Urgent Care Inc is located at 555 Saturn Blvd Suite B Box 292, San Diego, CA 92154. The listed phone number is (619) 591-9999.
What is Southbay Urgent Care Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Southbay Urgent Care Inc enrolled in Medicare?
Yes. Southbay Urgent Care Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southbay Urgent Care Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southbay Urgent Care Inc, in Emergency Medicine, Family Practice and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southbay Urgent Care Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2100477) is associated with this NPI, valid through August 13, 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 Southbay Urgent Care Inc was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Southbay Urgent Care Inc · NPI 1558746750
Urgent Care organization in San Diego, California. Organization record, active in the CMS NPPES registry since July 29, 2015.
## Identity
- **NPI:** 1558746750 (Entity type: Organization)
- **Enumerated:** July 29, 2015
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Kimberly Sheker Dickson, OWNER
## Practice location
- **Address:** 555 SATURN BLVD, SUITE B BOX 292, San Diego, CA 92154-4766
- **Phone:** (619) 591-9999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2016
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1558746750) · Data from the CMS NPPES public registry.