STOCKTON PAIN MEDICAL CENTER (NPI# 1730324518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730324518 |
| Entity Type | Organization |
| Organization Name | STOCKTON PAIN MEDICAL CENTER |
| Practice Address |
3031 W March Lane #101 Stockton CA 95219 |
| Practice Telephone | 2099515960 |
| Practice Fax Number | 2099515967 |
| Mailing Telephone | 2099515960 |
| Mailing Fax Number | 2099515967 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |
| Authorized Official Name | DR. JEFF NMI JONES (OWNER) |
| Authorized Official Telephone | 2099515960 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 05D1086032 | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 05D1086012 | 05 |
| Street Address |
3031 W MARCH LANE #101 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912919358 | Valley Podiatry Group Inc | Podiatrist | 3031 W March Lane, Suite 310, Stockton, CA 95219-6500 | 2006-08-13 |
| 1639423213 | Emil Tanase | Dentist | 3031 W March Lane, Ste 318e, Stockton, CA 95219 | 2012-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639562309 | Liquidx Laboratory LLC | Clinical Medical Laboratory | 1403 W Oak St, Stockton, CA 95203-2607 | 2015-03-05 |
| 1649315821 | Unilab Corporation | Clinical Medical Laboratory | 2291 W March Lane, Suite 145 F, Stockton, CA 95207-6652 | 2007-02-21 |
| 1205213196 | Stockton Pathology Medical Group | Clinical Medical Laboratory | 2131 N California St, Stockton, CA 95204-6030 | 2015-04-30 |
| 1972874501 | West Coast Diagnostics LLC | Clinical Medical Laboratory | 8978 Bainbridge Pl, Stockton, CA 95209-4807 | 2012-01-12 |
| 1114060522 | Public Health Lab, San Joaquin Co Pub Hlth Svs | Clinical Medical Laboratory | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2007-02-15 |
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| 1083212351 | Telomere Diagnostics, Inc. | Clinical Medical Laboratory | 2688 Middlefield Rd Ste A, Redwood City, CA 94063-3483 | 2020-10-09 |
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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.