JAMES J. SCILLIAN (NPI# 1700964616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700964616 |
| Entity Type | Individual |
| Full Name | JAMES J. SCILLIAN |
| Credential | MD |
| Practice Address |
7373 West Ln Stockton CA 95210-3377 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 2094762000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
A44745 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A447450 | 05 |
| Street Address |
7373 WEST LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720144 | Blaine Christopher Van Ausdeln | Nurse Practitioner | 7373 West Ln, Stockton, CA 95210-3377 | 2005-06-16 |
| 1093314296 | Kim Aristizabal | Respiratory Therapist, Certified | 7373 West Ln, Stockton, CA 95210-3377 | 2020-10-20 |
| 1124632781 | Jovana Danielle Mercado | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-09-01 |
| 1396356473 | Sophia Han | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-08-12 |
| 1639797962 | Jill Epperson | Respiratory Therapist, Registered | 7373 West Ln, Stockton, CA 95210-3377 | 2020-07-13 |
| 1508407453 | Emilee Kay Hansen | Marriage & Family Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-10-02 |
| 1972155968 | Kathy Quach | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-07-10 |
| 1669930350 | Nishant Deo | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-03-12 |
| 1366909376 | Bridgett Denise Smith | Respiratory Therapist, Registered | 7373 West Ln, Stockton, CA 95210-3377 | 2019-02-26 |
| 1124501994 | Kathryn E Deamer | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2018-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457385890 | Mark H Nishiki | Pathology | 1800 N California St, Stockton, CA 95204-6019 | 2006-07-10 |
| 1518991942 | David P Enfield | Pathology | 1800 N California St, Stockton, CA 95204-6019 | 2006-07-10 |
| 1881621175 | David F Jensen | Pathology | 1800 N California St, Stockton, CA 95204-6019 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385468 | Alfred Lui, M. D., Inc. | Pathology | 23441 Madison St Ste 301b, Torrance, CA 90505-4735 | 2020-08-05 |
| 1174176697 | Francisco Beca | Pathology | 300 Pasteur Dr Bldg 235, Stanford, CA 94305-2200 | 2019-07-23 |
| 1851852750 | Steffan Nicholas Ho | Pathology | 3014 Award Row, San Diego, CA 92122-2231 | 2019-03-26 |
| 1841776358 | Shuo Xu | Pathology | 8700 Beverly Blvd Rm 8725, West Hollywood, CA 90048-1804 | 2018-07-17 |
| 1619489242 | Ania Gheyara | Pathology | 16 Rich Acres Rd, Orinda, CA 94563-1618 | 2017-11-05 |
| 1407229305 | Melissa Conrad Stoppler | Pathology | 922 Aruba Ln, Foster City, CA 94404-3802 | 2015-11-02 |
| 1114303161 | Vincent Hess Stack | Pathology | 2732 Piedmont Ave. #1, Montrose, CA 91020 | 2015-07-31 |
| 1154716975 | Gregory William Charville | Pathology | 300 Pasteur Drive, Room L235, Stanford, CA 94022 | 2015-03-30 |
| 1861885295 | Kenneth Widder | Pathology | 16231 El Camino Real, Rancho Santa Fe, CA 92067 | 2015-03-10 |
| 1316342546 | Eugene Butcher | Pathology | 230 Corte Madera Rd, Portola Valley, CA 94028-7817 | 2014-10-30 |
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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.