RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC (NPI# 1669546990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669546990 |
| Entity Type | Organization |
| Organization Name | RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC |
| Other Organization Name | RAI-N. CALIFORNIA-STOCKTON |
| Practice Address |
2350 N California St Stockton CA 95204-5506 |
| Practice Telephone | 2099430854 |
| Practice Fax Number | 2099430137 |
| Mailing Telephone | 2099430854 |
| Mailing Fax Number | 2099430137 |
| 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 | CDC02705J | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZR0196Z | 01 |
| CA | KAISER | 04 | 01 |
| CA | BLUE CROSS OF CALIFORNIA | 052705 | 01 |
| Other Name | Type Code |
|---|---|
| RAI-N. California-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 |
| 1063586394 | Rai Care Centers of Northern California I, LLC | Clinic/Center | 3115 West March Lane, Stockton, CA 95219-2372 | 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 |
| 1497829790 | Rai Care Centers of Northern California I, LLC | Clinic/Center | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2006-11-20 |
| Street Address |
2350 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611594 | Randeep Singh Bajwa | Internal Medicine | 2350 N California St, Stockton, CA 95204-5506 | 2005-06-30 |
| 1972819803 | Pacific Kidney & Hypertension Inc | Internal Medicine | 2350 N California St, Stockton, CA 95204-5506 | 2010-08-30 |
| 1427100973 | Jagjit Singh, M.d., Inc | Specialist | 2350 N California St, Stockton, CA 95204-5506 | 2007-01-17 |
| 1801884929 | Jagjit Singh | Internal Medicine | 2350 N California St, Stockton, CA 95204-5506 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| 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 |
| 1063586394 | Rai Care Centers of Northern California I, LLC | Clinic/Center | 3115 West March Lane, Stockton, CA 95219-2372 | 2006-11-20 |
| 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 |
| 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.