CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION (NPI# 1114941796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114941796 |
| Entity Type | Organization |
| Organization Name | CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION |
| Practice Address |
612 W 11th St Suite 103 Tracy CA 95376-3855 |
| Mailing Address |
1899 W. March Lane Stockton CA 95207-6402 |
| Practice Telephone | 2098364800 |
| Practice Fax Number | 2098363917 |
| Mailing Telephone | 2096234700 |
| Mailing Fax Number | 2096234713 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-09-01 |
| Authorized Official Name | PHILIP E 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 | ZZZ26803Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1013931781 | Center for Sight of Stockton A Medical Corporation | Specialist | 1144 Norman Dr, Suite 102, Manteca, CA 95336-5925 | 2006-07-27 |
| Street Address |
612 W 11TH ST SUITE 103 |
| City | TRACY |
| State | CA |
| Zip Code | 95376-3855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144342817 | Vanessa D Miner | Physical Therapy Assistant | 612 W 11th St, Tracy, CA 95376-3855 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757150 | James Burgess Angel | Technician, Other | 455 W. Eaton Ave., Tracy, CA 95376 | 2019-08-30 |
| 1477079655 | Cassandra Sierra | Specialist/Technologist | 632 W 11th St Ste 119, Tracy, CA 95376 | 2017-08-18 |
| 1922465491 | Jasmeer Kaur Uppal | Registered Nurse | 1411 N. Tracy Bl., Tracy, CA 95376 | 2016-01-28 |
| 1679957773 | Amy Forester | Physical Therapy Assistant | 1752 Schantz Way, Tracy, CA 95376 | 2015-07-17 |
| 1477966265 | Sarah Ojeda | Marriage & Family Therapist | 19 East 6th Street, Tracy, CA 95376 | 2014-06-09 |
| 1356761209 | Lucille Nowakowski | Registered Nurse | 95 West 11 Th St, Tracy, CA 95376 | 2014-04-18 |
| 1821417718 | Ricardo Echon | Nurse Practitioner | 644 W 12th Street, Tracy, CA 95376 | 2014-04-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1790034056 | Amy Powers | Counselor | 902 N Central Ave Ste 308, Tracy, CA 95376 | 2012-09-02 |
| 1982951554 | Gurpreet Singh Dhaliwal Md Inc. | Anesthesiology | 1530 Bessie Ave Ste 104, Tracy, CA 95376 | 2012-08-13 |
| Find all providers in zip 95376 | ||||
| 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 |
|---|---|---|---|---|
| 1851586960 | Salman S. Razi, Md Inc | Specialist | 2160 W Grant Line Rd # 140, Tracy, CA 95377-7309 | 2007-09-11 |
| 1114003605 | A & I Huatuco, Inc. | Specialist | 1530 Bessie Ave Ste 102, Tracy, CA 95376-3080 | 2006-10-27 |
| 1265537989 | Modern Therapies for Mind and Soul, Inc | Specialist | 552 W Eaton Ave, Tracy, CA 95376-3422 | 2006-09-14 |
| 1326151473 | Hala Saleem | Specialist | 1423 N Tracy Blvd, Tracy, CA 95376-3445 | 2006-08-15 |
| 1215988092 | Peter L Chi | Specialist | 1770 N Tracy Blvd, Tracy, CA 95376-2431 | 2006-05-15 |
| 1154326262 | Neelesh S Bangalore | Specialist | 4600 S Tracy Blvd Ste 108, Tracy, CA 95377-8105 | 2005-06-15 |
| 1043759160 | Heidi Rubio | Specialist | 2850 N Tracy Blvd Ste 200, Tracy, CA 95376 | 2017-02-22 |
| 1346416286 | Agnes Balza | Specialist | 2586 Buthmann Ave, Tracy, CA 95376-2165 | 2008-04-30 |
| 1013123496 | San Joaquin Hematology Oncology A PC | Specialist | 4600 S Tracy Blvd Ste 108, Tracy, CA 95377-8105 | 2007-05-15 |
| 1144356114 | Peter L. Chi, Md Inc | Specialist | 1770 N Tracy Blvd, Tracy, CA 95376-2431 | 2007-02-26 |
| Find all providers in TRACY | ||||
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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.