SAMUEL B BOCKARI (NPI# 1871658559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871658559 |
Entity Type | Organization |
Organization Name | SAMUEL B BOCKARI |
Other Organization Name | RAINBOW TRANSPORTATION |
Practice Address |
10203 River Park Cir Stockton CA 95209-4183 |
Practice Telephone | 2094776130 |
Mailing Telephone | 2094776130 |
Enumeration Date | 2006-12-24 |
Last Update Date | 2008-06-17 |
Authorized Official Name | MR. SAMUEL BINOY BOCKARI (OWNER) |
Authorized Official Telephone | 2094776130 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
MTNO1129F | CA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MTNO1129F | 05 |
Other Name | Type Code |
---|---|
RAINBOW TRANSPORTATION | Doing Business As Name - Organization |
Street Address |
10203 RIVER PARK CIR |
City | STOCKTON |
State | CA |
Zip Code | 95209-4183 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
1881845790 | Gary Earl Fiscus | Dentist | 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209 | 2008-10-09 |
1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
Find all providers in zip 95209 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1134147150 | American Medical Response West | Ambulance | 3755 West Ln, Stockton, CA 95204-2431 | 2006-07-17 |
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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.