CITY HEALTH, A MEDICAL CORPORATION — NPI 1477940187 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in SAN LEANDRO, CA)

CMS-1500 Box 24J / 33a • NPI

1477940187

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM1300X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

201 DOLORES AVE, SAN LEANDRO, CA, 94577-5007

✓ 9-Digit EDI 837 ZIP+4 (94577-5007)

Practice Phone & Referral Fax

(510) 971-2489

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477940187 (CITY HEALTH, A MEDICAL CORPORATION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1477940187` (NPI-2 Organization / Facility)
Provider / Legal Name	CITY HEALTH, A MEDICAL CORPORATION
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM1300X` (Clinic/Center, Multi-Specialty)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	201 DOLORES AVE, SAN LEANDRO, CA, 94577-5007
Practice Telephone / Fax	Tel: (510) 971-2489
Administrative Mailing Address	201 DOLORES AVE, SAN LEANDRO, CA, 94577-5007
Enumeration & Last Sync	Enumerated: 2015-04-20 \| CMS Record Updated: 2025-05-13
Authorized Official	SEAN PARKIN (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

201 DOLORES AVE, SAN LEANDRO, CA, 94577-5007

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Plain-English Taxonomy & CMS Crosswalk (261QM1300X)

What Does Taxonomy Code 261QM1300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM1300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CITY HEALTH, A MEDICAL CORPORATION)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207N00000X` — Dermatology Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`207ND0101X` — Dermatology, MOHS-Micrographic Surgery Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`207ND0900X` — Dermatology, Dermatopathology Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`207NP0225X` — Dermatology, Pediatric Dermatology Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`207NS0135X` — Dermatology, Procedural Dermatology Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RE0101X` — Internal Medicine, Endocrinology, Diabetes & Metabolism Plain English: Board-Certified Endocrinologist (Diabetes, Thyroid & Hormone Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Secondary
`261QU0200X` — Clinic/Center, Urgent Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: CA \| License: `C3763203` \| Primary: Secondary
`261QU0200X` — Clinic/Center, Urgent Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM1300X` — Clinic/Center, Multi-Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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CITY HEALTH, A MEDICAL CORPORATION (NPI #1477940187)