DR. JIN R. SOOFI (NPI# 1972592939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972592939 |
| Entity Type | Individual |
| Full Name | DR. JIN R. SOOFI |
| Credential | MD |
| Practice Address |
1212 N California St Stockton CA 95202-1552 |
| Practice Telephone | 2094868700 |
| Practice Fax Number | 2099531041 |
| Mailing Telephone | 2094868700 |
| Mailing Fax Number | 2099531041 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2014-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G86240 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1212 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981437 | Matthew Robin Devera | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-10-30 |
| 1609475581 | Bailey T Manego | Recreational Therapist Assistant | 1212 N California St, Stockton, CA 95202-1552 | 2020-10-21 |
| 1265039226 | Zachary Hensley | Marriage & Family Therapist | 1212 N California St, Stockton, CA 95202-1552 | 2020-10-02 |
| 1508477662 | Danielle Wiseman | Counselor | 1212 N California St, Stockton, CA 95202-1552 | 2020-08-12 |
| 1073121414 | Criselle Jane Carillo Sumampong | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-07-22 |
| 1477161396 | Meliza Ann Agpaoa Ruiz | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-07-16 |
| 1124646815 | Maria Truong | Counselor | 1212 N California St, Stockton, CA 95202-1552 | 2020-07-08 |
| 1871110437 | Victoria Lynn Phillips | Social Worker | 1212 N California St, Stockton, CA 95202-1552 | 2020-06-30 |
| 1730702119 | Jennifer J Salon | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-05-20 |
| 1699397505 | Sofia Soriano | Specialist | 1212 N California St, Stockton, CA 95202-1552 | 2020-05-13 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790139566 | Peter Alan Crist | Psychiatry & Neurology | 62 Wagner Rd, Stockton, NJ 08559-1412 | 2016-04-19 |
| 1982782892 | Arudra Bodepudi | Psychiatry & Neurology | 5250 Claremont Ave Ste 103, Stockton, CA 95207-5700 | 2006-11-01 |
| 1407932742 | John Matthew Yarbrough | Psychiatry & Neurology | 510 East Magnolia Street, Suite 100, Stockton, CA 95202 | 2006-10-30 |
| 1568567105 | Suryabanu Javeed | Psychiatry & Neurology | 1212 N California Street., Stockton, CA 95202 | 2006-09-14 |
| 1134230485 | Saul B Zelan | Psychiatry & Neurology | 7707 Austin Rd, Stockton, CA 95215-8312 | 2006-08-31 |
| 1144330572 | Jerry Travis Jones | Psychiatry & Neurology | 2522 Grand Canal Blvd, #1, Stockton, CA 95207-8213 | 2006-08-30 |
| 1194799395 | Jane Fernandez | Psychiatry & Neurology | 2522 Grand Canal Blvd Ste 1, Stockton, CA 95207-8213 | 2006-02-14 |
| 1841261054 | John Fong | Psychiatry & Neurology | 1130 Monaco Ct, Stockton, CA 95207 | 2006-01-27 |
| 1891795076 | Alice Park | Psychiatry & Neurology | 1305 Tommydon St, Stockton, CA 95210-3364 | 2005-07-28 |
| 1033407986 | Vikram Malhotra | Psychiatry & Neurology | 7707 Austin Rd, Stockton, CA 95215-8312 | 2011-07-13 |
| 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.