COUNTY OF SAN JOAQUIN (NPI# 1679023980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679023980 |
Entity Type | Organization |
Organization Name | COUNTY OF SAN JOAQUIN |
Other Organization Name | SAN JOAQUIN COUNTY CLINIC HAZELTON |
Practice Address |
1601 E Hazelton Ave Stockton CA 95205-6229 |
Mailing Address |
Po Box 1020 Stockton CA 95201-3120 |
Practice Telephone | 2094686937 |
Practice Fax Number | 2094687042 |
Mailing Telephone | 2094686937 |
Mailing Fax Number | 2094687042 |
Enumeration Date | 2016-10-11 |
Last Update Date | 2016-10-11 |
Authorized Official Name | MR. DAVID B JOMAOAS (DIRECTOR OF AMBULATORY CARE SERVICE) |
Authorized Official Telephone | 2094686160 |
Is Organization Subpart | Y |
Parent Organization Name | COUNTY OF SAN JOAQUIN |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
030000087 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
San Joaquin County Clinic Hazelton | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417407636 | County of San Joaquin | Clinic/Center | 279 Spreckels Ave, Manteca, CA 95336-6005 | 2016-10-12 |
1629319447 | County of San Joaquin | Clinic/Center | 500 W Hospital Rd Ste A, French Camp, CA 95231-9693 | 2013-03-04 |
1710228531 | County of San Joaquin | Clinic/Center | 500 W Hospital Rd Ste C, French Camp, CA 95231-9693 | 2013-03-04 |
1083955801 | County of San Joaquin | Clinic/Center | 1414 N California St Ste A, Stockton, CA 95202-1515 | 2013-03-04 |
1538400353 | County of San Joaquin | Clinic/Center | 1414 N California St Ste B, Stockton, CA 95202-1515 | 2013-03-04 |
1578803425 | County of San Joaquin | Clinic/Center | 500 W Hospital Rd Ste B, French Camp, CA 95231-9693 | 2013-02-28 |
1558557801 | County of San Joaquin | Clinic/Center | 7783 South Freedom Road, French Camp, CA 95231 | 2007-09-20 |
1235213463 | County of San Joaquin | Clinic/Center | 7783 South Freedom Rd., French Camp, CA 95231 | 2006-10-24 |
1801830583 | County of San Joaquin | General Acute Care Hospital | 500 W. Hospital Rd., French Camp, CA 95231 | 2006-06-15 |
1891036612 | County of San Joaquin | Clinic/Center | 1414 N California St, Stockton, CA 95202-1515 | 2013-03-04 |
Street Address |
1601 E HAZELTON AVE |
City | STOCKTON |
State | CA |
Zip Code | 95205-6229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144231739 | Karen L. Furst | Preventive Medicine | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2006-08-10 |
1730532524 | Surbhi Jayant | Registered Nurse | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2016-07-18 |
1366800245 | Jajin Koo | Registered Nurse | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2016-02-05 |
1730586793 | Cheryl Noel Jones | Registered Nurse | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2014-11-19 |
1669875571 | Wendy Buthenuth | Registered Nurse | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2014-10-06 |
1659685477 | Betty Dennison | Registered Nurse | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2010-08-04 |
1639483464 | Pamela Kochi-lam | Registered Nurse | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2010-08-04 |
1437382272 | Marsha Lou Chellsen | Registered Nurse | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2009-08-27 |
1346401080 | Julie Kay Vaishampayan | Internal Medicine | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2008-06-24 |
1326224205 | Jonathan Cadaing Maghirang | Registered Nurse | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2008-01-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841801081 | Telegenx, LLC | Durable Medical Equipment & Medical Supplies | 127 S Locust St, Stockton, CA 95205 | 2020-08-12 |
1487130191 | Rassiwala Dental Corporation | Dentist | 2043 E Fremont St Ste 8, Stockton, CA 95205 | 2018-07-16 |
1518464692 | Szarisse Fernandez | Pharmacist | 2040 E. Mariposa Rd., Stockton, CA 95205 | 2018-04-06 |
1467820019 | San Joaquin County Bhs | Non-emergency Medical Transport (VAN) | 1149 N. El Dorado St., Stockton, CA 95205 | 2015-09-11 |
1346617651 | Kevin G.y. Tom | Pharmacist | 1528 Fremont St, Stockton, CA 95205 | 2015-08-24 |
1578749149 | Peebles Family Care Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 404 North Broadway Ave, Stockton, CA 95205 | 2008-01-14 |
1780874149 | Mv Transportation | Non-emergency Medical Transport (VAN) | 1250 South Wilson Way, Mv Transportation Ste #a1, Stockton, CA 95205 | 2007-07-31 |
1467513549 | Stockton Pharmacy | Pharmacy | 3330 E Main St, Stockton, CA 95205 | 2006-12-13 |
1174155170 | Phillip Brandon Long | Pharmacist | 2040 E Mariposa Rd, Stockton, CA 95205 | 2020-02-07 |
1558904136 | Angela Moss Burns | Counselor | 430 N Pilgrim St, Stockton, CA 95205 | 2019-10-25 |
Find all providers in zip 95205 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083955801 | County of San Joaquin | Clinic/Center | 1414 N California St Ste A, Stockton, CA 95202-1515 | 2013-03-04 |
1538400353 | County of San Joaquin | Clinic/Center | 1414 N California St Ste B, Stockton, CA 95202-1515 | 2013-03-04 |
1891036612 | County of San Joaquin | Clinic/Center | 1414 N California St, Stockton, CA 95202-1515 | 2013-03-04 |
1518190958 | Dignity Health Medical Foundation | Clinic/Center | 1901 N California St, Stockton, CA 95204-6005 | 2009-09-02 |
1922231422 | Dignity Health Medical Foundation | Clinic/Center | 1901 N California St, Stockton, CA 95204-6005 | 2009-08-31 |
1609020569 | Dignity Health Medical Foundation | Clinic/Center | 534 E Pine St, Suite B, Stockton, CA 95204-5536 | 2008-11-05 |
1861410581 | Dignity Health Medical Foundation | Clinic/Center | 3132 W March Ln, Suite 5, Stockton, CA 95219-2354 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649878117 | Cameron S Francis Md Inc | Clinic/Center | 1431 Camino Del Mar, Del Mar, CA 92014-2509 | 2020-10-15 |
1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
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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.