PLANNED PARENTHOOD MAR MONTE, INC (NPI# 1366496838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366496838 |
Entity Type | Organization |
Organization Name | PLANNED PARENTHOOD MAR MONTE, INC |
Practice Address |
4555 Precissi Ln Stockton CA 95207-6239 |
Mailing Address |
1691 The Alameda San Jose CA 95126-2203 |
Practice Telephone | 2094774103 |
Practice Fax Number | 2094771065 |
Mailing Telephone | 4087953600 |
Mailing Fax Number | 4089716935 |
Enumeration Date | 2006-05-20 |
Last Update Date | 2019-07-25 |
Authorized Official Name | MR. TOM MOTSIFF (CFO) |
Authorized Official Telephone | 4087953707 |
Authorized Official Credential | MHA, CMA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
030000211 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CMM70254G | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255387106 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 430 N Palora Ave, Suite G, Yuba City, CA 95991-4707 | 2006-05-25 |
1174579957 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 678 N Wilson Way, Suite G, Stockton, CA 95205-4272 | 2006-05-25 |
1447206321 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 729 Sunrise Blvd, Suite 900, Roseville, CA 95661-4565 | 2006-05-25 |
1316991714 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 1125 10th St, Sacramento, CA 95814-3503 | 2006-05-20 |
1023062593 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 6095 N 1st St, Fresno, CA 93710-5444 | 2006-05-20 |
1154375624 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 1431 Mchenry Ave, Suite 100, Modesto, CA 95350-4541 | 2006-05-20 |
1003860446 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 500 E Almond Ave, Suite 1, Madera, CA 93637-5600 | 2006-05-20 |
1679526693 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 201 29th St, Suite B, Sacramento, CA 95816-3271 | 2006-05-19 |
1982657862 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 604 E Evelyn Ave, Sunnyvale, CA 94086-6459 | 2006-05-19 |
1568415495 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 520 Cottonwood St, Suite 10, Woodland, CA 95695-3603 | 2006-05-19 |
Street Address |
4555 PRECISSI LN |
City | STOCKTON |
State | CA |
Zip Code | 95207-6239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003475070 | Aurora Kay Pettett | Registered Nurse | 4555 Precissi Ln, Stockton, CA 95207-6239 | 2019-06-12 |
1699130443 | Gabrielle Andrea Deguzman Mullen | Registered Nurse | 4555 Precissi Ln, Stockton, CA 95207-6239 | 2015-12-21 |
1932580362 | Maren Hackbusch | Physician Assistant | 4555 Precissi Ln, Stockton, CA 95207-6239 | 2015-06-11 |
1629491188 | Jeanette Rocha | Registered Nurse | 4555 Precissi Ln, Stockton, CA 95207-6239 | 2014-02-03 |
1952620676 | Joy Shaloma Elliott-demars | Physician Assistant | 4555 Precissi Ln, Stockton, CA 95207-6239 | 2010-05-20 |
1861676462 | Jeanette Louise Beer | Registered Nurse | 4555 Precissi Ln, Stockton, CA 95207-6239 | 2007-12-19 |
1285780296 | Linda Jennifer Geverts | Nurse Practitioner | 4555 Precissi Ln, Stockton, CA 95207-6239 | 2007-01-25 |
1285711259 | Catherine Davis | Registered Nurse | 4555 Precissi Ln, Stockton, CA 95207-6239 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
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Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174579957 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 678 N Wilson Way, Suite G, Stockton, CA 95205-4272 | 2006-05-25 |
1548317951 | Nationwide Medical Group, Inc | Clinic/Center | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2007-01-05 |
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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.