PACIFIC URGENT CARE INC
NPI 1699755397
Clinic/Center - Urgent Care in Stockton, CA
About Pacific Urgent Care Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC URGENT CARE INC (NPI 1699755397) is a healthcare organization registered as an urgent care in Stockton, California and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Taymour Malak, Md Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pacific Urgent Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pacific 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 (2)
Stockton, CA 95204
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 05D1033918
Pacific Urgent Care Inc · Stockton, 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 Pacific Urgent Care Inc's NPI number?
The NPI number for Pacific Urgent Care Inc is 1699755397. It was assigned to this organization in the NPPES registry on January 19, 2006.
Where is Pacific Urgent Care Inc located?
Pacific Urgent Care Inc is located at 1782 W Hammer Ln, Stockton, CA 95209. The listed phone number is (209) 475-9500.
What is Pacific Urgent Care Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Pacific Urgent Care Inc enrolled in Medicare?
Yes. Pacific Urgent Care Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific Urgent Care Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pacific Urgent Care Inc, in 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 Pacific Urgent Care Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1033918) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pacific Urgent Care Inc was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Pacific Urgent Care Inc · NPI 1699755397
Urgent Care organization in Stockton, California. Organization record, active in the CMS NPPES registry since January 19, 2006.
## Identity
- **NPI:** 1699755397 (Entity type: Organization)
- **Enumerated:** January 19, 2006
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Taymour Malak, MD OWNER
## Practice location
- **Address:** 1782 W HAMMER LN, Stockton, CA 95209-2922
- **Phone:** (209) 475-9500 · **Fax:** (209) 475-9599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2020
- **Other identifiers:** Medicaid GR0098260 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699755397) · Data from the CMS NPPES public registry.