COMMUNITY MEDICAL CENTERS, INC (NPI# 1609867787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609867787 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CENTERS, INC |
| Other Organization Name | COMMUNITY MEDICAL CENTERS -TRACY |
| Practice Address |
730 N Central Ave Tracy CA 95376-4104 |
| Mailing Address |
7210 Murray Drive Po Box 770 Stockton CA 95210-3339 |
| Practice Telephone | 2098201525 |
| Practice Fax Number | 2098201525 |
| Mailing Telephone | 2093732800 |
| Mailing Fax Number | 2093732878 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2018-04-13 |
| Authorized Official Name | MRS. CHRISTINE C NOGUERA (CEO) |
| Authorized Official Telephone | 2093732831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
030000423 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70462F | 05 |
| Other Name | Type Code |
|---|---|
| Community Medical Centers -Tracy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558726786 | Community Medical Centers, Inc | Clinic/Center | 2044 Fair St, Stockton, CA 95206-2313 | 2015-12-14 |
| 1649525544 | Community Medical Centers, Inc | Clinic/Center | 423 S San Joaquin St, Community Medical Centers Gleason, Stockton, CA 95203-3537 | 2012-07-17 |
| 1306984315 | Community Medical Centers, Inc | Clinic/Center | 2003 E Mariposa Rd, Stockton, CA 95205-7735 | 2007-02-02 |
| 1699766519 | Community Medical Centers, Inc | Clinic/Center | 131 W A St Ste 1, Dixon Family Practice, Dixon, CA 95620-3437 | 2005-10-31 |
| 1578552543 | Community Medical Centers, Inc | Clinic/Center | 701 E Channel St, Stockton, CA 95202-2628 | 2005-10-20 |
| 1932633930 | Community Medical Centers, Inc | Clinic/Center | 83 W March Ln, Stockton, CA 95207-5730 | 2017-04-17 |
| 1285059923 | Community Medical Centers, Inc | Clinic/Center | 1031 Waterloo Rd, Stockton, CA 95205-4256 | 2014-03-04 |
| 1710211214 | Community Medical Centers, Inc | Clinic/Center | 200 Cottage Ave Ste 103, Manteca, CA 95336-4935 | 2009-09-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEDICAL CENTERS, INC. | 7210 Murray Dr, Stockton, CA 95210-3339 |
| Street Address |
730 N CENTRAL AVE |
| City | TRACY |
| State | CA |
| Zip Code | 95376-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853778 | Sandra Friedman | Dietitian, Registered | 730 N Central Ave, Tracy, CA 95376-4104 | 2018-09-05 |
| 1811222391 | Deepthy Damien | Family Medicine | 730 N Central Ave, Tracy, CA 95376-4104 | 2009-10-16 |
| 1124352034 | Afsheen Abid | Pediatrics | 730 N Central Ave, Tracy, CA 95376-4104 | 2009-09-24 |
| 1205914728 | Sumitra Ramireddy | Family Medicine | 730 N Central Ave, Tracy, CA 95376-4104 | 2006-11-01 |
| 1306880679 | Satyasree S. Konda | Internal Medicine | 730 N Central Ave, Tracy, CA 95376-4104 | 2006-06-16 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164919049 | Community Medical Centers Inc | Clinic/Center | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2018-04-17 |
| 1497261606 | Community Medical Centers Inc | Clinic/Center | 2135 N Tracy Blvd, Tracy, CA 95376-2424 | 2017-12-26 |
| 1407978620 | Community Medical Centers, Inc. | Clinic/Center | 730 Central Ave, Tracy, CA 95376-4104 | 2007-04-06 |
| 1669594545 | Community Medical Centers, Inc. | Clinic/Center | 730 Central Ave, Tracy, CA 95376-4104 | 2007-04-04 |
| 1225156375 | Community Medical Centers | Clinic/Center | 730 Central Ave, Tracy, CA 95376-4104 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY MEDICAL CENTERS, INC.
| 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.