COMMUNITY MEDICAL CENTERS, INC. (NPI# 1174646335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174646335 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CENTERS, INC. |
| Other Organization Name | DIXON FAMILY PRACTICE |
| Practice Address |
131 W A St Dixon CA 95620-3437 |
| Mailing Address |
Po Box 779 Stockton CA 95201-0779 |
| Practice Telephone | 7076351600 |
| Practice Fax Number | 7076351641 |
| Mailing Telephone | 7078201500 |
| Mailing Fax Number | 7078201525 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL H. KIRKPATRICK (CEO) |
| Authorized Official Telephone | 2093732833 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BCCCP | BCP03864F | 01 |
| Other Name | Type Code |
|---|---|
| Dixon Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669720157 | Community Medical Centers, Inc. | Clinic/Center | 2015 S Mariposa Rd, Stockton, CA 95205-7735 | 2012-08-15 |
| 1588729180 | Community Medical Centers, Inc. | Clinic/Center | 17050 S. Grafton Street, Esparto, CA 95627 | 2006-12-26 |
| 1164586772 | Community Medical Centers, Inc. | Clinic/Center | 2640 E Lafayette St, Stockton, CA 95205-5713 | 2006-12-20 |
| 1659435279 | Community Medical Centers, Inc. | Clinic/Center | 721 Calaveras Street, Lodi, CA 95240-0628 | 2006-12-20 |
| 1457621922 | Community Medical Centers, Inc. | Clinic/Center | 200 Cottage Ave Ste 103, Manteca, CA 95336-4935 | 2011-12-30 |
| 1285912956 | Community Medical Centers, Inc. | Clinic/Center | 200 Cottage Ave Ste 103, Manteca, CA 95336-4935 | 2011-07-29 |
| 1144413709 | Community Medical Centers, Inc. | Clinic/Center | 701 E Channel St, Stockton, CA 95202-2628 | 2007-08-27 |
| 1881887446 | Community Medical Centers, Inc. | Clinic/Center | 701 E Channel St, Stockton, CA 95202-2628 | 2007-08-27 |
| 1407978620 | Community Medical Centers, Inc. | Clinic/Center | 730 Central Ave, Tracy, CA 95376-4104 | 2007-04-06 |
| 1801918743 | Community Medical Centers, Inc. | Clinic/Center | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2007-04-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEDICAL CENTERS, INC. | 7210 Murray Dr, Stockton, CA 95210-3339 |
| Street Address |
131 W A ST |
| City | DIXON |
| State | CA |
| Zip Code | 95620-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265440879 | Susan Torres | Social Worker | 131 W A St, Dixon, CA 95620-3437 | 2006-08-03 |
| 1346513611 | Catherine S. Montemayor | Physician Assistant | 131 W A St, Dixon, CA 95620-3437 | 2012-02-17 |
| 1548444631 | Andy Yongde Zhu | Family Medicine | 131 W A St, Dixon, CA 95620-3437 | 2007-12-26 |
| 1013129113 | Weimin Xu | Family Medicine | 131 W A St, Suite 1, Dixon, CA 95620-3437 | 2007-05-03 |
| 1578685137 | Community Medical Centers, Inc. | Clinic/Center | 131 W A St, Dixon, CA 95620-3437 | 2007-04-04 |
| 1023196599 | Camille Marie Ziomek | Family Medicine | 131 W A St, Dixon, CA 95620-3437 | 2006-11-01 |
| 1992887566 | Karen Sprague | Nurse Practitioner | 131 W A St, Dixon, CA 95620-3437 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023230919 | Alison Miller Aubert | Specialist/Technologist | 1935 Berry Ct, Dixon, CA 95620 | 2007-05-02 |
| 1487772539 | Dixon Unified Schools District | Local Education Agency (LEA) | 180 S. First St., Suite 6, Dixon, CA 95620 | 2007-03-27 |
| 1285774182 | Tully Wiedman | Emergency Medicine | 5724 Silveyville Road, Dixon, CA 95620 | 2007-02-08 |
| 1659467215 | Sandra D Lee | Family Medicine | 125 North Lincoln, #g, Dixon, CA 95620 | 2006-10-04 |
| 1093827743 | Haan J Elling | Physical Therapist | 125 N Lincoln St Ste H, Dixon, CA 95620 | 2006-08-31 |
| 1336670777 | Lourdes Mejia | Psychologist | 1600 California Drive, Vacaville, CA 95620 | 2017-03-27 |
| 1508016759 | Mahaan Rehab. Services Inc | Physical Therapist | 125 N Lincoln St Ste H, Dixon, CA 95620 | 2008-09-24 |
| 1811211204 | Dixon Family Chiropractic | Chiropractor | 1330 N Lincoln St, Dixon, CA 95620-2022 | 2010-03-15 |
| 1568506616 | S. Todd Comm, D.d.s., Inc. | Dentist | 1300 N Lincoln St, Suite A, Dixon, CA 95620-2022 | 2007-02-19 |
| 1386002954 | Allison Craig | Dentist | 1300 N Lincoln St, Dixon, CA 95620-2022 | 2016-02-10 |
| Find all providers in zip 95620 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766519 | Community Medical Centers, Inc | Clinic/Center | 131 W A St Ste 1, Dixon Family Practice, Dixon, CA 95620-3437 | 2005-10-31 |
| 1578685137 | Community Medical Centers, Inc. | Clinic/Center | 131 W A St, Dixon, CA 95620-3437 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY MEDICAL CENTERS, INC..
| 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.