# ALI STARKES MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALI STARKES MEDICAL GROUP
- **Other names:** SOUTHPORT URGENT CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609109511
- **Legal business name:** ALI STARKES MEDICAL GROUP
- **Authorized official:** MARGARET KAPASI (MANAGING ADMINISTRATOR)
- **Authorized official phone:** (916) 501-0728

## Contact information

- **Practice address:** 2455 JEFFERSON BLVD, SUITE 100, WEST SACRAMENTO, CA 95691-5313
- **Practice address phone:** (916) 226-6190
- **Practice address fax:** (916) 226-6195
- **Mailing address:** 3605 AGNETA COURT, C/O MICALIMAR & ASSOCIATES, ELK GROVE, CA 95758-0040
- **Mailing address phone:** (916) 226-6190
- **Mailing address fax:** (916) 226-6195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2009
- **Last updated:** 10/14/2009