SAN JOAQUIN COUNTY (NPI# 1407992019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407992019 |
| Entity Type | Organization |
| Organization Name | SAN JOAQUIN COUNTY |
| Other Organization Name | CORRECTIONAL HEALTHCARE PHARMACY |
| Practice Address |
7000 Michael Canlis Way French Camp CA 95231-9781 |
| Practice Telephone | 2094684761 |
| Practice Fax Number | 2094684772 |
| Mailing Telephone | 2094684761 |
| Mailing Fax Number | 2094684772 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | JAVIER GUERRERO (PHARMACY MANAGER) |
| Authorized Official Telephone | 2094684761 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
LCF37855 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2001271 | 01 |
| Other Name | Type Code |
|---|---|
| CORRECTIONAL HEALTHCARE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558619270 | San Joaquin County | Health Maintenance Organization | 1414 N California St, Stockton, CA 95202-1515 | 2012-08-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAN JOAQUIN COUNTY AGING AND COMMUNITY SERVICES | 102 S San Joaquin St, Stockton, CA 95201-3213 |
| System for Award Management (SAM) Entities | SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT | 1810 E Hazelton Ave, Stockton, CA 95205-6232 |
| System for Award Management (SAM) Entities | SAN JOAQUIN COUNTY SHERIFF'S OFFICE | 7000 Michael Canlis Blvd, French Camp, CA 95231-9781 |
| System for Award Management (SAM) Entities | SAN JOAQUIN COUNTY SUPERIOR COURT | 180 E Weber Ave, Stockton, CA 95202-2726 |
| Street Address |
7000 MICHAEL CANLIS WAY |
| City | FRENCH CAMP |
| State | CA |
| Zip Code | 95231-9781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564145 | Manpreet Kaur | Nurse Practitioner | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2020-10-06 |
| 1770097925 | Teffany A Calica | Licensed Vocational Nurse | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2017-11-27 |
| 1851709083 | Robyn Mendoza | Nurse Practitioner | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2014-07-31 |
| 1407192297 | John Campos | Technician, Other | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2012-12-24 |
| 1669718433 | Jennifer Lee Blase | Technician | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2012-12-21 |
| 1770860520 | San Joaquin County Behavioral Health Services | Clinic/Center | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2011-11-08 |
| 1932483385 | Tonya Nelson | Technician, Other | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2011-10-04 |
| 1942584354 | San Joaquin | Intermediate Care Facility, Mental Illness | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2011-10-04 |
| 1972705028 | Tom Leroy Moore | Marriage & Family Therapist | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124264510 | San Joaquin General Hospital Dialysis Clinic | General Acute Care Hospital | 7783 S. Freedom Road, French Camp, CA 95231 | 2009-01-06 |
| 1427229731 | Vhee M Agcaoili | Social Worker | 7777 S. Freedom Road, Stockton, CA 95231 | 2008-03-13 |
| 1851576532 | Nikolas Bjorn Adamsson | Counselor | 10350 South Mckinley Avenue, French Camp, CA 95231 | 2007-12-31 |
| 1558557801 | County of San Joaquin | Clinic/Center | 7783 South Freedom Road, French Camp, CA 95231 | 2007-09-20 |
| 1962602847 | Julie Mai Dang | Pharmacist | 7777 South Freedom Drive, French Camp, CA 95231 | 2007-07-19 |
| 1548478142 | San Joaquin County Behavioral Health Services | Clinic/Center | 6861 Mary Graham Lane, French Camp, CA 95231 | 2007-05-18 |
| 1497968184 | San Joaquin County Behavioral Health Services | Substance Abuse Rehabilitation Facility | 500 W. Hospital Road, French Camp, CA 95231 | 2007-05-08 |
| 1891918793 | Randy Raymond Barretto | Counselor | 500 W. Hospitalm Rd, French Camp ., CA 95231 | 2007-04-10 |
| 1245352392 | Dora Florez | Counselor | 500 W Hospital Road, French Camp, CA 95231 | 2007-04-06 |
| 1538281506 | John Campos | Physical Therapy Assistant | 500 West Hospital Rd., French Camp, CA 95231 | 2007-04-03 |
| Find all providers in zip 95231 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491180 | Omni Family Health | Pharmacy | 4646 N. 1st Street, Fresno, CA 93726-0973 | 2020-09-11 |
| 1083240048 | Michael Anthony Abram | Pharmacy | 3240 Beck Rd, Lompoc, CA 93436-8301 | 2020-03-20 |
| 1043843428 | Community Medical Centers Inc | Pharmacy | 7912 West Lane, Ste. 221, Room 102, Stockton, CA 95210-3159 | 2020-02-13 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1447616198 | Beverly Hills Wellness Physicians Corp | Pharmacy | 1703 N Avalon Blvd, Wilmington, CA 90744-1432 | 2016-01-11 |
| 1700242419 | Pacific Rejuvination Medical A Professional Corp | Pharmacy | 7230 Medical Center Dr Ste 100, West Hills, CA 91307-4001 | 2016-01-11 |
| 1174923684 | Planned Parenthood Mar Monte, Inc. | Pharmacy | 1032 A Street, Hayward, CA 94541-4106 | 2014-09-03 |
| 1306263264 | University of Southern California | Pharmacy | 830 S Flower St, Los Angeles, CA 90017-4608 | 2014-03-27 |
| 1730428293 | Mission City Community Network Inc | Pharmacy | 8527 Sepulveda Blvd Ste 131, North Hills, CA 91343-5824 | 2013-02-04 |
| 1700158797 | Van Masteranna Billing Service, Inc | Pharmacy | 22631 Pacific Coast Hwy # 793, Malibu, CA 90265-5036 | 2012-02-06 |
| Find all providers with the same taxonomy | ||||
| City | FRENCH CAMP |
| Zip Code | 95231 |
Please comment or provide details below to improve the information on SAN JOAQUIN COUNTY.
| 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.