PACIFIC URGENT CARE INC
NPI 1699755397
Clinic/Center - Urgent Care in Stockton, CA

Active since January 19, 2006CLIA 05D1033918 · Waiver
1782 W HAMMER LN, STOCKTON, CA 95209(209) 475-9500(209) 475-9599 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1699755397
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePACIFIC URGENT CARE INC
Location Address1782 W HAMMER LNStockton, CA 95209-2922
Mailing Address4719 Quail Lakes Dr, Pmb 244 Suite GStockton, CA 95207-5267 · (209) 475-9500 · Fax (209) 475-9599
Fax(209) 475-9599
Organization SubpartNo
Authorized OfficialTaymour MalakMd Owner · (209) 475-9500
Enumeration DateJanuary 19, 2006
Last NPPES UpdateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
NPI 1699755397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1782 W HAMMER LN, Stockton, CA 95209

Other Identifiers 1

MedicaidGR0098260CA

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, CA
Active · expires Nov 18, 2026
CLIA Number05D1033918
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorTaymour E. Malak
Laboratory Phone(209) 475-9500
Laboratory LocationPacific Urgent Care Inc1782 W Hammer Lane, Stockton, CA 95209
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 3

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

Physician Assistant
1782 W HAMMER LN
STOCKTON, CA 95209
Pharmacy (Community/Retail Pharmacy)
1782 W HAMMER LN
STOCKTON, CA 95209
Pharmacist
1782 W HAMMER LN
STOCKTON, CA 95209

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 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.

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.