CENTRAL VALLEY NEONATAL MEDICAL GRP (NPI# 1922260629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922260629 |
Entity Type | Organization |
Organization Name | CENTRAL VALLEY NEONATAL MEDICAL GRP |
Practice Address |
525 W Acacia St Neonatal Department Stockton CA 95203-2405 |
Mailing Address |
1524 Mchenry Ave Suite 150 Modesto CA 95350-4500 |
Practice Telephone | 2095718330 |
Mailing Telephone | 2095718330 |
Enumeration Date | 2008-06-25 |
Last Update Date | 2008-06-25 |
Authorized Official Name | DR. AARON JAMES SIMKO (PRESIDENT) |
Authorized Official Telephone | 2095718330 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
CA | Allopathic & Osteopathic Physicians |
Street Address |
525 W ACACIA ST NEONATAL DEPARTMENT |
City | STOCKTON |
State | CA |
Zip Code | 95203-2405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538163886 | Dameron Hospital Association | General Acute Care Hospital | 525 W Acacia St, Stockton, CA 95203-2405 | 2005-06-01 |
1023663762 | Michelle Lai | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2019-08-08 |
1619537073 | Cep America - Anesthesia PC | Anesthesiology | 525 W Acacia St, Stockton, CA 95203-2405 | 2019-06-18 |
1891273405 | Hospitalist Medicine Physicians of California - Stockton, PC | Internal Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2018-08-06 |
1518490358 | California Em-i Medical Services A Medical Corporation | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2017-04-08 |
1497286306 | Grace Rodriguez | Emergency Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2017-03-22 |
1407391576 | Steven Frank Blankenship Jr. | Dietitian, Registered | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-12-28 |
1376999748 | Sreekanth Murupudi | Internal Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-05-04 |
1346695038 | Matthew Mitchell | Pharmacist | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-04-29 |
1609239532 | Anil K. Sain, Md | Nuclear Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447899349 | Sagrario Alva Chavez | Technician | Sagrario Chavez, 1248 West Park St., Stockton, CA 95203 | 2019-12-26 |
1538682810 | Kumars Transport | Non-emergency Medical Transport (VAN) | 1112 W Fremont St, Stockton, CA 95203 | 2017-07-19 |
1194251595 | Jesmond Ridge Medical Services A Medical Corporation | Emergency Medicine | 525 W Acacla St, Stockton, CA 95203 | 2017-05-04 |
1285011064 | Brian Andrew Reuter | Emergency Medicine | Dameron Hospital, 525 Acacia St, Stockton, CA 95203 | 2015-04-30 |
1548209240 | Aaron James Simko | Pediatrics | 525 Acacia Street, Neonatal Department, Stockton, CA 95203 | 2006-06-06 |
1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
1487019568 | Evelyn Marie Cabral | Registered Nurse | 1966 W Rose St, Stockton, CA 95203-1327 | 2015-12-16 |
1245782622 | Christine Bolthouse | Specialist/Technologist | 1858 Lucerne Ave, Stockton, CA 95203-1440 | 2016-11-01 |
1235476946 | Sonia D Oliver | Case Manager/Care Coordinator | 1764 W Rose St, Stockton, CA 95203-1526 | 2013-01-15 |
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Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710070420 | Wen Shean Cherng | Pediatrics | 1800 North California St., Nicu, Stockton, CA 95204 | 2006-10-02 |
1548209240 | Aaron James Simko | Pediatrics | 525 Acacia Street, Neonatal Department, Stockton, CA 95203 | 2006-06-06 |
1801849286 | Shyh-fang Cheng | Pediatrics | 1800 N California St, Stockton, CA 95204-6019 | 2006-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699316695 | Neonatal Hospitalist Group, Inc | Pediatrics | 501 S Buena Vista St Nicu, Burbank, CA 91505-4809 | 2019-10-01 |
1619418936 | Natalie Hoi-man Chan | Pediatrics | 2516 Stockton Blvd Fl 2, Sacramento, CA 95817-2208 | 2017-03-20 |
1427502186 | George Francis Tidmarsh | Pediatrics | 10182 Telesis Ct, San Diego, CA 92121-4760 | 2016-08-11 |
1477904530 | Lida Irene Zeinali | Pediatrics | 2315 Stockton Blvd # 5, Sacramento, CA 95817-2201 | 2016-06-29 |
1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
1871921718 | Mirin Hemasilpin | Pediatrics | 22554 Ventura Blvd Ste 117, Woodland Hills, CA 91364-1436 | 2013-10-30 |
1588937353 | Jeffrey Joseph Pomerance | Pediatrics | 351 W Northridge Ave, Glendora, CA 91741-2036 | 2012-02-09 |
1447549225 | Jimmy Thuan Nguyen | Pediatrics | 5621 W Barbette Ave, Santa Ana, CA 92704-1015 | 2011-04-01 |
1699085134 | Rosemary Leake | Pediatrics | 2 Crest Rd W, Rolling Hills, CA 90274-5003 | 2010-10-18 |
1811200124 | Katrina Tan Ibonia | Pediatrics | 9300 Valley Childrens Pl # Se21, Madera, CA 93636-8762 | 2010-07-16 |
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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.