SAN JACINTO MEDICAL CLINIC/ URGI CARE – NPI #1801079892
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SAN JACINTO MEDICAL CLINIC/ URGI CARE is a provider located in SAN JACINTO, CA. NPPES has assigned the NPI number 1801079892 to SAN JACINTO MEDICAL CLINIC/ URGI CARE on December 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SAN JACINTO MEDICAL CLINIC/ URGI CARE” is a dba name, the actual legal business name for this organization is GK URGI CARE INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 18 years ago on Aug 18, 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 SAN JACINTO MEDICAL CLINIC/ URGI CARE below.

NPI Profile for
GK URGI CARE INC

NPI Number
1801079892
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 URGI CARE INC
Doing Business As (dba): SAN JACINTO MEDICAL CLINIC/ URGI CARE
Primary location
1695 S SAN JACINTO AVE
# A
SAN JACINTO, CA 92583
Phone: (951) 665-1100 Fax:
Mailing address
1695 S SAN JACINTO AVE STE A
SAN JACINTO, CA 92583-5103
Phone: (951) 665-1100 Fax: (951) 665-1414
Organization Subpart
No
Authorized Official
VIDHYA KOKA
OWNER
Phone: (951) 665-1100
Updated
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
208D00000X
- General Practice (Primary)
CA A60821
208000000X
- Pediatrics
CA A60821
207R00000X
- Internal Medicine
CA A55869

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.