COMMUNITY MEDICAL CENTERS INC (NPI# 1043843428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043843428 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CENTERS INC |
| Practice Address |
7912 West Lane, Ste. 221, Room 102 Stockton CA 95210-3159 |
| Mailing Address |
7210 Murray Dr Stockton CA 95210-3339 |
| Practice Telephone | 2099444730 |
| Mailing Telephone | 2093732800 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | CHRISTINE C NOGUERA (CEO) |
| Authorized Official Telephone | 2093732880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Community Medical Centers, West Lane Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1891328803 | Community Medical Centers Inc | Clinic/Center | 1800 S Sutter St # 11b, Stockton, CA 95206-2004 | 2020-02-18 |
| 1407460751 | Community Medical Centers Inc | Clinic/Center | 5151 Pacific Ave, Lock Center Room 126 & 128, Stockton, CA 95207-6304 | 2020-09-03 |
| 1710542816 | Community Medical Centers Inc | Clinic/Center | 2415 W Vine St Ste 100, Lodi, CA 95242-3731 | 2019-05-03 |
| 1164087268 | Community Medical Centers Inc | Clinic/Center | 2415 W Vine St Ste 105, Lodi, CA 95242-3731 | 2019-05-03 |
| 1205395712 | Community Medical Centers Inc | Clinic/Center | 1425 S Center St, Stockton, CA 95206-2016 | 2019-03-14 |
| 1205306628 | Community Medical Centers Inc | Clinic/Center | 2349 N California St, Stockton, CA 95204-5505 | 2018-11-28 |
| 1700373008 | Community Medical Centers Inc | Clinic/Center | 7912 West Ln Ste 221, Stockton, CA 95210-3159 | 2018-04-23 |
| 1164919049 | Community Medical Centers Inc | Clinic/Center | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2018-04-17 |
| 1497261606 | Community Medical Centers Inc | Clinic/Center | 2135 N Tracy Blvd, Tracy, CA 95376-2424 | 2017-12-26 |
| Street Address |
7912 WEST LANE, STE. 221, ROOM 102 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649493198 | Community Medical Centers Inc | Pharmacy | 701 E Channel St, Stockton, CA 95202-2628 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491180 | Omni Family Health | Pharmacy | 4646 N. 1st Street, Fresno, CA 93726-0973 | 2020-09-11 |
| 1083240048 | Michael Anthony Abram | Pharmacy | 3240 Beck Rd, Lompoc, CA 93436-8301 | 2020-03-20 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1447616198 | Beverly Hills Wellness Physicians Corp | Pharmacy | 1703 N Avalon Blvd, Wilmington, CA 90744-1432 | 2016-01-11 |
| 1700242419 | Pacific Rejuvination Medical A Professional Corp | Pharmacy | 7230 Medical Center Dr Ste 100, West Hills, CA 91307-4001 | 2016-01-11 |
| 1174923684 | Planned Parenthood Mar Monte, Inc. | Pharmacy | 1032 A Street, Hayward, CA 94541-4106 | 2014-09-03 |
| 1306263264 | University of Southern California | Pharmacy | 830 S Flower St, Los Angeles, CA 90017-4608 | 2014-03-27 |
| 1730428293 | Mission City Community Network Inc | Pharmacy | 8527 Sepulveda Blvd Ste 131, North Hills, CA 91343-5824 | 2013-02-04 |
| 1700158797 | Van Masteranna Billing Service, Inc | Pharmacy | 22631 Pacific Coast Hwy # 793, Malibu, CA 90265-5036 | 2012-02-06 |
| 1730469321 | Burg Health Pharmacy | Pharmacy | 2666 Mount Vernon Ave, Bakersfield, CA 93306-2973 | 2011-08-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.