DR. KATHERINE GABON CADACIO (NPI# 1336465111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336465111 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE GABON CADACIO |
| Credential | M.D. |
| Practice Address |
7373 West Ln Kaiser Permanente - Stockton Stockton CA 95210-3377 |
| Practice Telephone | 2094763484 |
| Mailing Telephone | 2094763484 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2013-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
A124995 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7373 WEST LN KAISER PERMANENTE - STOCKTON |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720144 | Blaine Christopher Van Ausdeln | Nurse Practitioner | 7373 West Ln, Stockton, CA 95210-3377 | 2005-06-16 |
| 1093314296 | Kim Aristizabal | Respiratory Therapist, Certified | 7373 West Ln, Stockton, CA 95210-3377 | 2020-10-20 |
| 1124632781 | Jovana Danielle Mercado | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-09-01 |
| 1396356473 | Sophia Han | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-08-12 |
| 1639797962 | Jill Epperson | Respiratory Therapist, Registered | 7373 West Ln, Stockton, CA 95210-3377 | 2020-07-13 |
| 1508407453 | Emilee Kay Hansen | Marriage & Family Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-10-02 |
| 1972155968 | Kathy Quach | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-07-10 |
| 1669930350 | Nishant Deo | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-03-12 |
| 1366909376 | Bridgett Denise Smith | Respiratory Therapist, Registered | 7373 West Ln, Stockton, CA 95210-3377 | 2019-02-26 |
| 1124501994 | Kathryn E Deamer | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508945940 | James Henry Holmes Jr. | Family Medicine | 1502 St. Mark's Plaza, Suite 5, Stockton, CA 95207-6409 | 2006-11-05 |
| 1528373537 | Fong Lai | Family Medicine | 7650 Newcastle Rd, Stockton, CA 95215-9663 | 2010-08-13 |
| 1780857474 | James L Sepiol | Family Medicine | 1429 W Fremont St, Stockton, CA 95203-2627 | 2008-04-02 |
| 1003018961 | James H. Holmes, Jr., M.d., Inc. | Family Medicine | 1502 St. Mark's Plaza, Suite 5, Stockton, CA 95207-6409 | 2007-06-04 |
| 1609920727 | Naju M Dah | Family Medicine | 2800 N California St, Suite #17, Stockton, CA 95204-3757 | 2007-01-23 |
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| 1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
| 1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
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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.