Healthcare Provider Details

I. General information

NPI: 1205186442
Provider Name (Legal Business Name): ACTION URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 BLOSSOM HILL RD
SAN JOSE CA
95118-3806
US

IV. Provider business mailing address

1375 BLOSSOM HILL RD
SAN JOSE CA
95118-3806
US

V. Phone/Fax

Practice location:
  • Phone: 626-791-9004
  • Fax: 626-791-9005
Mailing address:
  • Phone: 626-791-9004
  • Fax: 626-791-9005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberA98375
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: VLADIMIR G. SKOROKHOD
Title or Position: CMO
Credential: MD
Phone: 408-440-8335