DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1518190958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518190958 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Other Organization Name | DIGNITY HEALTH MEDICAL GROUP - STOCKTON, A SERVICE OF DIGNITY HEALTH M |
| Practice Address |
1901 N California St Stockton CA 95204-6005 |
| Mailing Address |
3000 Q St Sacramento CA 95816-7058 |
| Practice Telephone | 2099480579 |
| Practice Fax Number | 2099483125 |
| Mailing Telephone | 9167335701 |
| Mailing Fax Number | 9168591671 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | GEORGE LENZI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9168512559 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dignity Health Medical Group - Stockton, a service of Dignity Health M | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710129275 | Dignity Health Medical Foundation | Clinic/Center | 105 Dean Way, Folsom, CA 95630-2801 | 2009-03-30 |
| 1447492905 | Dignity Health Medical Foundation | Clinic/Center | 6060 Watt Ave, North Highlands, CA 95660-4212 | 2009-03-30 |
| 1366684821 | Dignity Health Medical Foundation | Clinic/Center | 10487 White Rock Rd, Rancho Cordova, CA 95670-5530 | 2009-03-30 |
| 1558495937 | Dignity Health Medical Foundation | Clinic/Center | 7911 Laguna Blvd, Elk Grove, CA 95758-7920 | 2007-03-15 |
| 1780226852 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2019-10-10 |
| 1568989200 | Dignity Health Medical Foundation | Clinic/Center | 3400 Data Dr, Rancho Cordova, CA 95670-7956 | 2017-08-24 |
| 1477074474 | Dignity Health Medical Foundation | Clinic/Center | 3400 Data Dr, Rancho Cordova, CA 95670-7956 | 2017-06-29 |
| 1679019798 | Dignity Health Medical Foundation | Clinic/Center | 6615 Valley Hi Dr, Sacramento, CA 95823-7076 | 2017-01-12 |
| 1508222647 | Dignity Health Medical Foundation | Clinic/Center | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2016-01-05 |
| 1376926527 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 | 2015-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIGNITY HEALTH MEDICAL FOUNDATION | 3400 Data Dr, Rancho Cordova, CA 95670-7956 |
| Street Address |
1901 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467410555 | Peter Allan Tuxen | Surgery | 1901 N California St, Stockton, CA 95204-6005 | 2006-05-01 |
| 1215495635 | Melissa J London | Physician Assistant | 1901 N California St, Stockton, CA 95204-6005 | 2019-03-05 |
| 1548743800 | Sin Yee Leung | Physician Assistant | 1901 N California St, Stockton, CA 95204-6005 | 2018-09-12 |
| 1609196419 | Shawn S Fu | Surgery | 1901 N California St, Stockton, CA 95204-6005 | 2010-06-03 |
| 1922231422 | Dignity Health Medical Foundation | Clinic/Center | 1901 N California St, Stockton, CA 95204-6005 | 2009-08-31 |
| 1619113925 | Deandrea Sims | Surgery | 1901 N California St, Stockton, CA 95204-6005 | 2008-12-17 |
| 1194935296 | Central Valley Orthopaedic Specialists Medical Group, Inc | Orthopaedic Surgery | 1901 N California St, Stockton, CA 95204-6005 | 2007-05-23 |
| 1154548626 | Gauravjit Singh | Radiology | 1901 N California St, Stockton, CA 95204-6005 | 2007-04-19 |
| 1558584466 | Renee H Kramer | Nurse Practitioner | 1901 N California St, Stockton, CA 95204-6005 | 2007-04-10 |
| 1033298724 | Paul H. Lee | Urology | 1901 N California St, Stockton, CA 95204-6005 | 2006-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083955801 | County of San Joaquin | Clinic/Center | 1414 N California St Ste A, Stockton, CA 95202-1515 | 2013-03-04 |
| 1538400353 | County of San Joaquin | Clinic/Center | 1414 N California St Ste B, Stockton, CA 95202-1515 | 2013-03-04 |
| 1679023980 | County of San Joaquin | Clinic/Center | 1601 E Hazelton Ave, Stockton, CA 95205-6229 | 2016-10-11 |
| 1891036612 | County of San Joaquin | Clinic/Center | 1414 N California St, Stockton, CA 95202-1515 | 2013-03-04 |
| 1922231422 | Dignity Health Medical Foundation | Clinic/Center | 1901 N California St, Stockton, CA 95204-6005 | 2009-08-31 |
| 1609020569 | Dignity Health Medical Foundation | Clinic/Center | 534 E Pine St, Suite B, Stockton, CA 95204-5536 | 2008-11-05 |
| 1861410581 | Dignity Health Medical Foundation | Clinic/Center | 3132 W March Ln, Suite 5, Stockton, CA 95219-2354 | 2006-07-18 |
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| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
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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.