VALLEY SLEEP DISORDERS CENTER OF SAN ANDREAS MEDICAL GROUP L.P. (NPI# 1770791642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770791642 |
| Entity Type | Organization |
| Organization Name | VALLEY SLEEP DISORDERS CENTER OF SAN ANDREAS MEDICAL GROUP L.P. |
| Practice Address |
1805 N California St Suite 206 Stockton CA 95204-6037 |
| Mailing Address |
564 Mountain Ranch Road Po Box 564 San Andreas CA 95249 |
| Practice Telephone | 2094668011 |
| Practice Fax Number | 2094660250 |
| Mailing Telephone | 2097545374 |
| Mailing Fax Number | 2097545376 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT G MONIE (PRESIDENT) |
| Authorized Official Telephone | 2094668011 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A45770 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
00G311730 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1805 N CALIFORNIA ST SUITE 206 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427029768 | Kala Swamynathan | Specialist | 1805 N California St, Auite 101, Stockton, CA 95204-6037 | 2006-01-26 |
| 1417405234 | Psc Stockton Outpatient Surgery Center, LLC | Clinic/Center | 1805 N California St, Suite 405, Stockton, CA 95204-6037 | 2016-09-21 |
| 1598158487 | California Street Outpatient Surgery Center, LLC | Clinic/Center | 1805 N California St, Suite 405, Stockton, CA 95204-6037 | 2015-03-17 |
| 1336489848 | Kristen Brown Montero | Nurse Practitioner | 1805 N California St, Stockton, CA 95204-6037 | 2013-02-20 |
| 1336413699 | Savage Premier Medical Group Inc | Obstetrics & Gynecology | 1805 N California St, Suite 202, Stockton, CA 95204-6037 | 2012-03-05 |
| 1346512076 | Jatinderjit Kaur Hundal | Nurse Practitioner | 1805 N California St, Suite 102, Stockton, CA 95204-6037 | 2012-01-26 |
| 1770721649 | Marie Pearl C. Francisco, Md, Inc | Clinic/Center | 1805 N California St, Suite 206, Stockton, CA 95204-6037 | 2009-01-30 |
| 1841457355 | Nathan Andrew Kludt | Plastic Surgery | 1805 N California St, Suite 405, Stockton, CA 95204-6037 | 2008-05-21 |
| 1174710578 | Prithipal S Sethi | Urology | 1805 N California St, Suite 303, Stockton, CA 95204-6037 | 2007-09-29 |
| 1295921518 | Prithipal S. Sethi M.d., Inc. | Urology | 1805 N California St, Suite 303, Stockton, CA 95204-6037 | 2007-09-20 |
| Find all providers in the same location | ||||
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1043215270 | Ronald A Kass | Internal Medicine | 1801 E March Ln, Suite C300, Stockton, CA 95210-6629 | 2005-06-15 |
| 1962068015 | Jennifer J. Williams, M.d., Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2019-05-14 |
| 1811343734 | Josebelo D. Chong, M.d. Inc. | Internal Medicine | 1801 E March Ln, Suite C300, Stockton, CA 95210-6629 | 2016-05-10 |
| 1396007100 | Jennifer Williams | Internal Medicine | 1801 E March Ln, Stockton, CA 95210 | 2012-06-08 |
| 1316176035 | Sanjeev K. Goswami, Md, Inc. | Internal Medicine | 1801 E March Ln, C 300, Stockton, CA 95210-6629 | 2009-07-02 |
| 1487894739 | Sheldon G. Yucht | Internal Medicine | 1800 N California St, St. Joseph's Medical Center, Stockton, CA 95204-6019 | 2009-02-26 |
| 1548481351 | Sierra Valley Lung & Sleep Medical Group Inc | Internal Medicine | 1805 N California St, Suite 206, Stockton, CA 95204-6037 | 2007-05-01 |
| 1962549998 | Stockton Sleep Disorders Medical Group Lp | Internal Medicine | 1805 N California St, Suite 206, Stockton, CA 95204-6037 | 2007-01-31 |
| 1255477345 | Sleep Disorders Management Medical Group Inc | Internal Medicine | 1805 N California St, Suite 206, Stockton, CA 95204-6037 | 2007-01-29 |
| 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.