WEST COAST DIAGNOSTICS LLC (NPI# 1972874501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972874501 |
Entity Type | Organization |
Organization Name | WEST COAST DIAGNOSTICS LLC |
Other Organization Name | WEST COAST DIAGNOSTICS |
Practice Address |
8978 Bainbridge Pl Stockton CA 95209-4807 |
Practice Telephone | 2094064142 |
Mailing Telephone | 2094064142 |
Enumeration Date | 2012-01-12 |
Last Update Date | 2012-12-03 |
Authorized Official Name | VIRGINIA KRAPF (OWNER) |
Authorized Official Telephone | 2094064142 |
Authorized Official Credential | RCP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 109903 | CA | Laboratories |
Other Name | Type Code |
---|---|
West Coast Diagnostics | Doing Business As Name - Organization |
Street Address |
8978 BAINBRIDGE PL |
City | STOCKTON |
State | CA |
Zip Code | 95209-4807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750314944 | Oxi-techs Inc | Technician, Other | 8978 Bainbridge Pl, Stockton, CA 95209-4807 | 2006-07-09 |
1871868661 | Jennifer Virrey | Technician, Other | 8978 Bainbridge Pl, Stockton, CA 95209-4807 | 2012-03-13 |
1790050672 | Nathan Krapf | Technician, Other | 8978 Bainbridge Pl, Stockton, CA 95209-4807 | 2012-03-12 |
1669746608 | Brigette Gay | Technician, Other | 8978 Bainbridge Pl, Stockton, CA 95209-4807 | 2012-03-07 |
1245424241 | Linda C Munoz | Respiratory Therapist, Certified | 8978 Bainbridge Pl, Stockton, CA 95209-4807 | 2007-09-02 |
1972797975 | Nikki L Roberts | Respiratory Therapist, Certified | 8978 Bainbridge Pl, Stockton, CA 95209-4807 | 2007-09-02 |
1497976880 | Jeanne Krueger | Registered Nurse | 8978 Bainbridge Pl, Stockton, CA 95209-4807 | 2007-05-01 |
1346379641 | Kevin Valtierra | Technician, Other | 8978 Bainbridge Pl, Stockton, CA 95209-4807 | 2007-03-04 |
1245369545 | Lolo Entendencia | Technician, Other | 8978 Bainbridge Pl, Stockton, CA 95209-4807 | 2007-03-04 |
1326177627 | Teri Parker | Technician, Other | 8978 Bainbridge Pl, Stockton, CA 95209-4807 | 2007-03-04 |
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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 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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1649315821 | Unilab Corporation | Clinical Medical Laboratory | 2291 W March Lane, Suite 145 F, Stockton, CA 95207-6652 | 2007-02-21 |
1205213196 | Stockton Pathology Medical Group | Clinical Medical Laboratory | 2131 N California St, Stockton, CA 95204-6030 | 2015-04-30 |
1730324518 | Stockton Pain Medical Center | Clinical Medical Laboratory | 3031 W March Lane, #101, Stockton, CA 95219 | 2008-12-09 |
1114060522 | Public Health Lab, San Joaquin Co Pub Hlth Svs | Clinical Medical Laboratory | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2007-02-15 |
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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.