DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1861410581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861410581 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Other Organization Name | DIGNITY HEALTH MEDICAL GROUP - STOCKTON, A SERVICE OF DIGNITY HEALTH M |
| Practice Address |
3132 W March Ln Suite 5 Stockton CA 95219-2354 |
| Mailing Address |
Po Box 742027 Los Angeles CA 90074-2027 |
| Practice Telephone | 2094755500 |
| Practice Fax Number | 2094755515 |
| Mailing Telephone | 9163792840 |
| Mailing Fax Number | 9168591106 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | GEORGE LENZI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9168512559 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0091671 | 05 | |
| STOCKTON LOC - IRS SP TAX | 371518341 | 01 | |
| CA | BLUE SHIELD | ZZZ66457Z | 01 |
| STOCKTON LOC - HEALTHNET | 7291 | 01 |
| Other Name | Type Code |
|---|---|
| Dignity Health Medical Group - Stockton, a service of Dignity Health M | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710129275 | Dignity Health Medical Foundation | Clinic/Center | 105 Dean Way, Folsom, CA 95630-2801 | 2009-03-30 |
| 1447492905 | Dignity Health Medical Foundation | Clinic/Center | 6060 Watt Ave, North Highlands, CA 95660-4212 | 2009-03-30 |
| 1366684821 | Dignity Health Medical Foundation | Clinic/Center | 10487 White Rock Rd, Rancho Cordova, CA 95670-5530 | 2009-03-30 |
| 1558495937 | Dignity Health Medical Foundation | Clinic/Center | 7911 Laguna Blvd, Elk Grove, CA 95758-7920 | 2007-03-15 |
| 1780226852 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2019-10-10 |
| 1568989200 | Dignity Health Medical Foundation | Clinic/Center | 3400 Data Dr, Rancho Cordova, CA 95670-7956 | 2017-08-24 |
| 1477074474 | Dignity Health Medical Foundation | Clinic/Center | 3400 Data Dr, Rancho Cordova, CA 95670-7956 | 2017-06-29 |
| 1679019798 | Dignity Health Medical Foundation | Clinic/Center | 6615 Valley Hi Dr, Sacramento, CA 95823-7076 | 2017-01-12 |
| 1508222647 | Dignity Health Medical Foundation | Clinic/Center | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2016-01-05 |
| 1376926527 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 | 2015-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIGNITY HEALTH MEDICAL FOUNDATION | 3400 Data Dr, Rancho Cordova, CA 95670-7956 |
| Street Address |
3132 W MARCH LN SUITE 5 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710943667 | Surinder S Raron | Pediatrics | 3132 W March Ln, Ste. 5, Stockton, CA 95219-2354 | 2006-04-20 |
| 1407315815 | Chelsea Sidhu | Nurse Practitioner | 3132 W March Ln, Stockton, CA 95219-2354 | 2019-03-15 |
| 1477816544 | Thao Le Thanh Nguyen | Family Medicine | 3132 W March Ln, Stockton, CA 95219-2354 | 2012-06-22 |
| 1194096743 | Nicole Verlean Knotts | Family Medicine | 3132 W March Ln, Suite 5, Stockton, CA 95219-2354 | 2012-01-13 |
| 1174834931 | Ahmid Dredar | Family Medicine | 3132 W March Ln, Suite 5, Stockton, CA 95219-2354 | 2010-06-27 |
| 1972836104 | Kristin M Bennett Md Inc | Otolaryngology | 3132 W March Ln, 2, Stockton, CA 95219-2354 | 2009-09-04 |
| 1720216179 | Anita Dorothy Heart | Family Medicine | 3132 W March Ln, Suite 5, Stockton, CA 95219-2354 | 2009-06-24 |
| 1538394978 | Christopher Andrew Vanschenck | Psychiatry & Neurology | 3132 W March Ln, Suite 5, Stockton, CA 95219-2354 | 2009-05-28 |
| 1871780445 | Jennifer Nerves Rivera | Family Medicine | 3132 W March Ln, Ste. 5, Stockton, CA 95219-2354 | 2007-09-27 |
| 1447362934 | Thuy Tuong Nguyen | Hospitalist | 3132 W March Ln, Suite 5, Stockton, CA 95219-2354 | 2006-08-31 |
| Find all providers in the same location | ||||
| 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 | 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 |
| 1679023980 | County of San Joaquin | Clinic/Center | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2016-10-11 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DIGNITY HEALTH MEDICAL FOUNDATION.
| 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.