DEANDREA SIMS (NPI# 1619113925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619113925 |
| Entity Type | Individual |
| Full Name | DEANDREA SIMS |
| Credential | M.D. |
| Practice Address |
1901 N California St Stockton CA 95204-6005 |
| Practice Telephone | 2099466800 |
| Practice Fax Number | 2099466805 |
| Mailing Telephone | 2099466800 |
| Mailing Fax Number | 2099466805 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2013-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A106325 | CA | Allopathic & Osteopathic Physicians |
| 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 |
| 1518190958 | Dignity Health Medical Foundation | Clinic/Center | 1901 N California St, Stockton, CA 95204-6005 | 2009-09-02 |
| 1922231422 | Dignity Health Medical Foundation | Clinic/Center | 1901 N California St, Stockton, CA 95204-6005 | 2009-08-31 |
| 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 |
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| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093977191 | Timothy Bechtel, Md Inc. | Surgery | 2800 N California St., Ste 6, Stockton, CA 95204-3739 | 2008-06-30 |
| 1053324251 | Donald P Garcia | Surgery | 221 Tuxedo Court, Suite E, Stockton, CA 95204-5261 | 2006-08-15 |
| 1780697987 | Earl Taylor | Surgery | 2075 Edgewater Court, Stockton, CA 95204-3862 | 2006-08-15 |
| 1265455471 | Rick Lynn Rawson | Surgery | 1617 N California St Ste 1e, Stockton, CA 95204-6117 | 2006-07-26 |
| 1063430718 | Stephanie M. Dentoni Md, Inc | Surgery | 2216 N. California St. Ste C, Stockton, CA 95204 | 2006-07-18 |
| 1215967997 | Steven L Goldberg Md Inc | Surgery | 2216 N California St Ste A, Stockton, CA 95204-5533 | 2006-07-05 |
| 1467410555 | Peter Allan Tuxen | Surgery | 1901 N California St, Stockton, CA 95204-6005 | 2006-05-01 |
| 1467420711 | Donald E Stowell | Surgery | 1617 N California St Ste 1d, Stockton, CA 95204 | 2006-03-11 |
| 1346727682 | Cascade Cardiovascular Surgery Inc | Surgery | 1617 N California St Ste 1d, Stockton, CA 95204-6117 | 2018-07-19 |
| 1891143384 | Anacapa Surgical Group Inc | Surgery | 3116 W March Ln, #200, Stockton, CA 95219-2369 | 2016-05-25 |
| Find all providers in STOCKTON | ||||
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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.