DAMERON HOSPITAL ASSOCIATION (NPI# 1538163886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538163886 |
| Entity Type | Organization |
| Organization Name | DAMERON HOSPITAL ASSOCIATION |
| Practice Address |
525 W Acacia St Stockton CA 95203-2405 |
| Practice Telephone | 2099445550 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM KENNETH CHASE (CONTROLLER) |
| Authorized Official Telephone | 2094613193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 030000024 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HCS00122F | 05 | |
| CA | HCP40122F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699195115 | Dameron Hospital Association | Clinic/Center | 530 W Acacia St, Suite 1, Stockton, CA 95203-2454 | 2014-04-23 |
| 1073663431 | Dameron Hospital Association | Pharmacy | 420 W Acacia St, Stockton, CA 95203-2441 | 2007-01-10 |
| Street Address |
525 W ACACIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95203-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023663762 | Michelle Lai | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2019-08-08 |
| 1619537073 | Cep America - Anesthesia PC | Anesthesiology | 525 W Acacia St, Stockton, CA 95203-2405 | 2019-06-18 |
| 1891273405 | Hospitalist Medicine Physicians of California - Stockton, PC | Internal Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2018-08-06 |
| 1518490358 | California Em-i Medical Services A Medical Corporation | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2017-04-08 |
| 1497286306 | Grace Rodriguez | Emergency Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2017-03-22 |
| 1407391576 | Steven Frank Blankenship Jr. | Dietitian, Registered | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-12-28 |
| 1376999748 | Sreekanth Murupudi | Internal Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-05-04 |
| 1346695038 | Matthew Mitchell | Pharmacist | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-04-29 |
| 1609239532 | Anil K. Sain, Md | Nuclear Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-03-29 |
| 1366812273 | Jamie Jay Bible | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2015-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899349 | Sagrario Alva Chavez | Technician | Sagrario Chavez, 1248 West Park St., Stockton, CA 95203 | 2019-12-26 |
| 1538682810 | Kumars Transport | Non-emergency Medical Transport (VAN) | 1112 W Fremont St, Stockton, CA 95203 | 2017-07-19 |
| 1194251595 | Jesmond Ridge Medical Services A Medical Corporation | Emergency Medicine | 525 W Acacla St, Stockton, CA 95203 | 2017-05-04 |
| 1285011064 | Brian Andrew Reuter | Emergency Medicine | Dameron Hospital, 525 Acacia St, Stockton, CA 95203 | 2015-04-30 |
| 1548209240 | Aaron James Simko | Pediatrics | 525 Acacia Street, Neonatal Department, Stockton, CA 95203 | 2006-06-06 |
| 1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
| 1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
| 1487019568 | Evelyn Marie Cabral | Registered Nurse | 1966 W Rose St, Stockton, CA 95203-1327 | 2015-12-16 |
| 1245782622 | Christine Bolthouse | Specialist/Technologist | 1858 Lucerne Ave, Stockton, CA 95203-1440 | 2016-11-01 |
| 1235476946 | Sonia D Oliver | Case Manager/Care Coordinator | 1764 W Rose St, Stockton, CA 95203-1526 | 2013-01-15 |
| Find all providers in zip 95203 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780807248 | Dignity Health | General Acute Care Hospital | 2102 N California St, Stockton, CA 95204-6031 | 2007-04-11 |
| 1649345695 | Son Phan | General Acute Care Hospital | 8882 Hildreth Ln, Stockton, CA 95212-9428 | 2006-11-22 |
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|---|---|---|---|---|
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| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
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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.