RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC (NPI# 1063586394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063586394 |
Entity Type | Organization |
Organization Name | RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC |
Other Organization Name | RAI-WEST MARCH-STOCKTON |
Practice Address |
3115 West March Lane Stockton CA 95219-2372 |
Practice Telephone | 2099557527 |
Practice Fax Number | 2099557537 |
Mailing Telephone | 2099557527 |
Mailing Fax Number | 2099557537 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2012-07-30 |
Authorized Official Name | MR. MARK R FAWCETT (TREASURER) |
Authorized Official Telephone | 7816999000 |
Is Organization Subpart | Y |
Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE CROSS OF CALIFORNIA | 052703 | 01 |
CA | CDC02703H | 05 | |
CA | KAISER | 05 | 01 |
CA | BLUE SHIELD OF CALIFORNIA | ZZZR0199Z | 01 |
Other Name | Type Code |
---|---|
RAI-West March-Stockton | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083788327 | Rai Care Centers of Northern California I, LLC | Clinic/Center | 1781 Santa Clara Dr., Roseville, CA 95661 | 2006-11-20 |
1164596490 | Rai Care Centers of Northern California I, LLC | Clinic/Center | 3011 Ceres Ave, Suite 125, Chico, CA 95973-7898 | 2006-11-20 |
1508930801 | Rai Care Centers of Northern California I, LLC | Clinic/Center | 1451 Secret Ravine Pkwy, Building D, Suite 130, Roseville, CA 95661-4051 | 2006-11-20 |
1346314648 | Rai Care Centers of Northern California I, LLC | Clinic/Center | 8139 Elk Grove Blvd, Suite 200, Elk Grove, CA 95758-5519 | 2006-11-20 |
1669546990 | Rai Care Centers of Northern California I, LLC | Clinic/Center | 2350 N California St, Stockton, CA 95204-5506 | 2006-11-20 |
1497829790 | Rai Care Centers of Northern California I, LLC | Clinic/Center | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2006-11-20 |
Street Address |
3115 WEST MARCH LANE |
City | STOCKTON |
State | CA |
Zip Code | 95219-2372 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
Find all providers in zip 95219 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437569514 | Coral Dialysis LLC | Clinic/Center | 1810 S Fresno Ave, Stockton, CA 95206-1861 | 2014-04-29 |
1104190826 | Satellite Dialysis of South Stockton LLC | Clinic/Center | 590 E Harding Wy, Stockton, CA 95204-6110 | 2012-02-27 |
1518166594 | Stockton Kidney Clinic, LLC | Clinic/Center | 1523 E March Ln, Stockton, CA 95210 | 2007-07-11 |
1144260811 | Wellbound of Stockton LLC | Clinic/Center | 3555 Deer Park Dr, Suite 140, Stockton, CA 95219-2306 | 2006-06-08 |
1922069319 | Total Renal Care Inc | Clinic/Center | 7500 West Ln, Stockton, CA 95210-3312 | 2006-03-28 |
1437124476 | Dva Healthcare Renal Care Inc | Clinic/Center | 5608 N Pershing Ave, Stockton, CA 95207-4906 | 2006-02-22 |
1700203502 | Total Renal Care Inc | Clinic/Center | 7707 Austin Rd, Stockton, CA 95215-8312 | 2014-03-19 |
1790929826 | Roose Dialysis LLC | Clinic/Center | 1523 E March Ln, Ste 200, Stockton, CA 95210-5607 | 2009-04-20 |
1669546990 | Rai Care Centers of Northern California I, LLC | Clinic/Center | 2350 N California St, Stockton, CA 95204-5506 | 2006-11-20 |
1134142565 | Satellite Dialysis of Stockton LLC | Clinic/Center | 1801 E March Ln, Stockton, CA 95210-6629 | 2006-07-26 |
Find all providers in STOCKTON |
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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.