COUNTY OF SAN JOAQUIN (NPI# 1891036612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891036612 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SAN JOAQUIN |
| Other Organization Name | SAN JOAQUIN COUNTY CLINICS FPC |
| Practice Address |
1414 N California St Stockton CA 95202-1515 |
| Mailing Address |
Po Box 1020 Stockton CA 95201-3120 |
| Practice Telephone | 2094686937 |
| Practice Fax Number | 2094687042 |
| Mailing Telephone | 2094686937 |
| Mailing Fax Number | 2094687042 |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | MR. DAVID B JOMAOAS (DIRECTOR AMBULATORY CARE SERVICES) |
| Authorized Official Telephone | 2094686937 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SAN JOAQUIN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
030000087 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| San Joaquin County Clinics FPC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417407636 | County of San Joaquin | Clinic/Center | 279 Spreckels Ave, Manteca, CA 95336-6005 | 2016-10-12 |
| 1629319447 | County of San Joaquin | Clinic/Center | 500 W Hospital Rd Ste A, French Camp, CA 95231-9693 | 2013-03-04 |
| 1710228531 | County of San Joaquin | Clinic/Center | 500 W Hospital Rd Ste C, French Camp, CA 95231-9693 | 2013-03-04 |
| 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 |
| 1578803425 | County of San Joaquin | Clinic/Center | 500 W Hospital Rd Ste B, French Camp, CA 95231-9693 | 2013-02-28 |
| 1558557801 | County of San Joaquin | Clinic/Center | 7783 South Freedom Road, French Camp, CA 95231 | 2007-09-20 |
| 1235213463 | County of San Joaquin | Clinic/Center | 7783 South Freedom Rd., French Camp, CA 95231 | 2006-10-24 |
| 1801830583 | County of San Joaquin | General Acute Care Hospital | 500 W. Hospital Rd., French Camp, CA 95231 | 2006-06-15 |
| 1679023980 | County of San Joaquin | Clinic/Center | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2016-10-11 |
| Street Address |
1414 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376574616 | Susan M Abraham | Pediatrics | 1414 N California St, Stockton, CA 95202-1515 | 2006-07-05 |
| 1346859469 | Adam Wong | Licensed Psychiatric Technician | 1414 N California St, Stockton, CA 95202-1515 | 2020-07-24 |
| 1760018485 | Ashley Nichole Mcmillion | Case Manager/Care Coordinator | 1414 N California St, Stockton, CA 95202-1515 | 2020-03-13 |
| 1619515640 | Maria Samson | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2019-12-20 |
| 1043857014 | Adrienne Pleasants | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2019-12-09 |
| 1801445531 | Mary Alice Richardson | Case Manager/Care Coordinator | 1414 N California St, Stockton, CA 95202-1515 | 2019-09-05 |
| 1013566744 | Joseph Michael Jackson Pointon | Case Manager/Care Coordinator | 1414 N California St, Stockton, CA 95202-1515 | 2019-09-05 |
| 1093370397 | Allison Ilene Borsuk-georgandas | Social Worker | 1414 N California St, Stockton, CA 95202 | 2019-05-02 |
| 1801459920 | Angelique Cooper | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2019-04-15 |
| 1568938124 | Malina Celine Diaz | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2018-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| 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 |
| 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 |
| 1861410581 | Dignity Health Medical Foundation | Clinic/Center | 3132 W March Ln, Suite 5, Stockton, CA 95219-2354 | 2006-07-18 |
| 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 |
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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.