CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION (NPI# 1013931781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013931781 |
| Entity Type | Organization |
| Organization Name | CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION |
| Other Organization Name | PHILIP EDINGTON, MD |
| Practice Address |
1144 Norman Dr Suite 102 Manteca CA 95336-5925 |
| Mailing Address |
1899 W. March Lane Stockton CA 95207-6402 |
| Practice Telephone | 2098231152 |
| Practice Fax Number | 2098233376 |
| Mailing Telephone | 2096234700 |
| Mailing Fax Number | 2096234713 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-09-01 |
| Authorized Official Name | PHILIP A EDINGTON (DIRECTOR) |
| Authorized Official Telephone | 2099485515 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP PTAN | ZZZ70177Z | 01 |
| Other Name | Type Code |
|---|---|
| PHILIP EDINGTON, MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114941796 | Center for Sight of Stockton A Medical Corporation | Specialist | 612 W 11th St, Suite 103, Tracy, CA 95376-3855 | 2006-07-27 |
| 1962426643 | Center for Sight of Stockton A Medical Corporation | Specialist | 1208 Floyd Ave Bldg D, Modesto, CA 95350-2470 | 2006-07-27 |
| 1326062084 | Center for Sight of Stockton A Medical Corporation | Specialist | 1899 W March Ln, Stockton, CA 95207-6402 | 2006-07-27 |
| Street Address |
1144 NORMAN DR SUITE 102 |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053399980 | Abdul Waheed Khan | Internal Medicine | 1144 Norman Dr, Suite 205, Manteca, CA 95336-5925 | 2005-12-30 |
| 1396124293 | Foad Elahi Md California Center of Pain Medicine and Rehabilitation I | Physical Medicine & Rehabilitation | 1144 Norman Dr, 104, Manteca, CA 95336-5925 | 2015-05-26 |
| 1841550746 | Prachi Singh Chauhan | Pediatrics | 1144 Norman Dr, Suite 203b, Manteca, CA 95336-5925 | 2012-05-24 |
| 1710291570 | Mohammad Haghdoost | Surgery | 1144 Norman Dr, Suite 203b, Manteca, CA 95336-5925 | 2010-08-03 |
| 1154657716 | Foad Elahi | Physical Medicine & Rehabilitation | 1144 Norman Dr, Suite 104, Manteca, CA 95336-5925 | 2009-11-02 |
| 1649424243 | Cheryl Ann Striplin | Pharmacy | 1144 Norman Dr, Suite 103, Manteca, CA 95336-5925 | 2008-11-10 |
| 1275781205 | Salman S Razi Md Inc | Urology | 1144 Norman Dr, 204, Manteca, CA 95336-5925 | 2008-09-03 |
| 1144488149 | Ripudaman S Beniwal Md Inc | Internal Medicine | 1144 Norman Dr, Suite 101, Manteca, CA 95336-5925 | 2008-05-27 |
| 1295930527 | Victoria Jui-yun Hsu | Ophthalmology | 1144 Norman Dr, Suite 102, Manteca, CA 95336-5925 | 2007-06-18 |
| 1093748006 | Cynthia M Vanata | Obstetrics & Gynecology | 1144 Norman Dr, #104, Manteca, CA 95336-5925 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245783869 | Jonathan Yager | Specialist | 20801 S Woodward Ave Spc 35, Manteca, CA 95337-9264 | 2016-07-31 |
| 1972870988 | Jackie Friedrikson | Specialist | 207 W Center St, Manteca, CA 95336-4540 | 2011-11-18 |
| 1942510367 | Kathryn Lee Wright | Specialist | 1138 Collins St, Manteca, CA 95337-8641 | 2010-10-19 |
| 1457423279 | Catherine F Mathis | Specialist | 1234 E. North St, Suite 102, Manteca, CA 95336 | 2006-11-15 |
| 1508807066 | Tan D Tran | Specialist | 292 Cottage Ave, Manteca, CA 95336-4942 | 2006-06-08 |
| 1548239338 | Prabhjit S. Purewal, Md, Inc. | Specialist | 165 St. Dominic's Dr, Ste 120, 140, Manteca, CA 95337-7802 | 2006-03-15 |
| 1528035573 | Sanjeev Vaishampayan | Specialist | 1148 Norman Dr Ste 3, Manteca, CA 95336-5961 | 2006-03-08 |
| 1740648856 | Valley Cancer Medical Center Inc | Specialist | 1138 Norman Dr, Ste 101, Manteca, CA 95336-5965 | 2016-02-03 |
| 1922179290 | Steve J Tredway | Specialist | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-10 |
| 1578653028 | Tonja Lynette Harris-stansil | Specialist | 1234 E North St, Ste. 102, Manteca, CA 95336-4960 | 2006-10-13 |
| Find all providers in MANTECA | ||||
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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.