SJ MEDICAL CLINIC – NPI #1912175456
Clinic/Center

SJ MEDICAL CLINIC is an AHC clinic located in SAN JACINTO, CA. NPPES has assigned the NPI number 1912175456 to SJ MEDICAL CLINIC on February 19, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SJ MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is GK URGICARE,INC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 18 years ago on Feb 21, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SJ MEDICAL CLINIC below.

NPI Profile for
GK URGICARE,INC

NPI Number
1912175456
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GK URGICARE,INC
Doing Business As (dba): SJ MEDICAL CLINIC
Primary location
1695 S SAN JACINTO AVE
SUITE A
SAN JACINTO, CA 92583
Phone: (951) 665-1100 Fax: (951) 665-1414
Mailing address
Same as primary location
Organization Subpart
Yes - SJ MEDICAL CLINIC is subpart of another organization.
Authorized Official
VIDHYA KOKA
OWNER
Phone: (951) 665-1100
Updated
Identifiers

Identifiers for SJ MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCALIF MEDICAL LICENSECAA60821
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 CA A60821

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.