MAIN STREET URGENT CARE, INC.
NPI 1760403125
Clinic/Center - Primary Care in Manteca, CA

Active since July 21, 2006CLIA 05D2132229 · Waiver
1040 N MAIN ST, MANTECA, CA 95336(209) 825-5155(209) 825-6155 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Main Street Urgent Care, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET URGENT CARE, INC. (NPI 1760403125) is a healthcare organization registered as a primary care in Manteca, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Jana Marie Anslinger, Office Supervisor, as its authorized official.

NPPES Registry Identity

NPI1760403125
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNORCAL URGENT CARE, INC
Location Address1040 N MAIN STManteca, CA 95336-3745
Mailing AddressPo Box 969Woodbridge, CA 95258-0969 · (209) 825-5155 · Fax (209) 825-6155
Fax(209) 825-6155
Organization SubpartNo
Authorized OfficialJana Marie AnslingerOffice Supervisor · (209) 825-5155
Enumeration DateJuly 21, 2006
Last NPPES UpdateNovember 3, 2011
✔ NPI 1760403125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A54317
1040 N MAIN ST, Manteca, CA 95336

Other Names 1

Doing Business AsMain Street Urgent Care, Inc.

Other Identifiers 3

MedicaidGR0100060CA
Medicare ID-Type UnspecifiedZZZ02035ZCA
Other05D1045635CA · Clia

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Main Street Urgent Care, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050712000654Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Main Street Urgent Care, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1740431246
9140 ALCOSTA BLVD SUITE D
San Ramon, CA 94583
(925) 361-5959
✔ PECOS40 mi

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 05D2132229

Main Street Urgent Care · Manteca, CA
Active · expires Jun 13, 2027
CLIA Number05D2132229
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorRajesh Maheshwari, MD
Laboratory Phone(209) 825-5155
Laboratory LocationMain Street Urgent Care1040 N. Main Street, Manteca, CA 95336
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Norcal Urgent Care, Inc's NPI number?

The NPI number for Norcal Urgent Care, Inc is 1760403125. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Main Street Urgent Care, Inc..

Where is Norcal Urgent Care, Inc located?

Norcal Urgent Care, Inc is located at 1040 N Main St, Manteca, CA 95336. The listed phone number is (209) 825-5155.

What is Norcal Urgent Care, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Norcal Urgent Care, Inc enrolled in Medicare?

Yes. Norcal Urgent Care, Inc is registered in the Medicare PECOS enrollment system.

When is Norcal Urgent Care, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Norcal Urgent Care, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Norcal Urgent Care, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Norcal Urgent Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2132229) is associated with this NPI, valid through June 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 Norcal Urgent Care, Inc was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.