CENTURION VALLEY HEALTHCARE INC. (NPI# 1750773792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750773792 |
| Entity Type | Organization |
| Organization Name | CENTURION VALLEY HEALTHCARE INC. |
| Practice Address |
6337 Brook Hollow Cir Stockton CA 95219-2441 |
| Practice Telephone | 2099100701 |
| Practice Fax Number | 2099109763 |
| Mailing Telephone | 2099100701 |
| Mailing Fax Number | 2099109763 |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |
| Authorized Official Name | DR. HTAY MINN (PRESIDENT) |
| Authorized Official Telephone | 2099100701 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1992765523 | 05 |
| Street Address |
6337 BROOK HOLLOW CIR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-2441 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956132 | Adventist Health Physicians Network | Internal Medicine | 10200 Trinity Pkwy Ste 102, Stockton, CA 95219-7287 | 2020-06-16 |
| 1134477599 | Mahboob Ali | Internal Medicine | 1801 E March Ln Ste A170, Stockton, CA 95210-6673 | 2012-08-16 |
| 1841586781 | Brian Aloyisus Boyle | Internal Medicine | 112 Dunkard Church Rd, Stockton, NJ 08559-1406 | 2011-06-20 |
| 1154635506 | Shalini Madugundi | Internal Medicine | 2015 E Mariposa Rd, Stockton, CA 95205-7735 | 2010-07-27 |
| 1952534927 | Geriatrics Long Term Care Medical Corporation | Internal Medicine | 1240 Robinhood Drive, Suite A, Stockton, CA 95207-5507 | 2009-08-25 |
| 1558504514 | Ivan Safonoff | Internal Medicine | 90 Stompf Tavern Rd, Stockton, NJ 08559-1801 | 2009-04-07 |
| 1427212653 | Connie Tang Singh | Internal Medicine | 1801 E March Ln Ste C310, Stockton, CA 95210-6683 | 2008-07-16 |
| 1285897892 | Rashaad Ahmed Chothia | Internal Medicine | 415 E Harding Way Ste I, Stockton, CA 95204 | 2008-07-03 |
| 1346400546 | Swetha Ramachandran | Internal Medicine | 5049 Pine Lake Ct, Stockton, CA 95219-2030 | 2008-06-11 |
| 1942467451 | Yi-po Anthony Wu.,m.d.,m.p.h.,inc | Internal Medicine | 645 W Harding Way Ste 15, Stockton, CA 95204-5688 | 2008-05-21 |
| 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.