DAMERON HOSPITAL HOME HEALTH (NPI# 1649321274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649321274 |
| Entity Type | Organization |
| Organization Name | DAMERON HOSPITAL HOME HEALTH |
| Practice Address |
420 W Acacia St Stockton CA 95203-2441 |
| Mailing Address |
525 W Acacia St Stockton CA 95203-2405 |
| Practice Telephone | 2094613193 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM KENNETH CHASE (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 2094613193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780614032 | Dameron Hospital Home Health | Home Health | 420 W Acacia St, Suite 14, Stockton, CA 95203-2441 | 2006-07-03 |
| Street Address |
420 W ACACIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95203-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401810 | Peter G Hickox | Specialist | 420 W Acacia St, Sutie 11, Stockton, CA 95203-2441 | 2005-07-21 |
| 1174880835 | Diego F Ferro Md Inc | Internal Medicine | 420 W Acacia St, Suite 1, Stockton, CA 95203-2441 | 2012-04-19 |
| 1174756027 | Bhagya Nakka, M.d., Inc. | Obstetrics & Gynecology | 420 W Acacia St, Suite 22, Stockton, CA 95203-2441 | 2009-08-26 |
| 1700027877 | Diego F. Ferro | Specialist | 420 W Acacia St, Suite 1, Stockton, CA 95203-2441 | 2009-03-18 |
| 1073663431 | Dameron Hospital Association | Pharmacy | 420 W Acacia St, Stockton, CA 95203-2441 | 2007-01-10 |
| 1699857896 | Alfredoleonmdinc | Internal Medicine | 420 W Acacia St, #6, Stockton, CA 95203-2441 | 2006-10-19 |
| 1982700969 | Robert Charles Southmayd | Obstetrics & Gynecology | 420 W Acacia St, Suite 11, Stockton, CA 95203-2441 | 2006-09-16 |
| 1073619060 | Big Valley Ob-gyn Medical Center,inc. | Obstetrics & Gynecology | 420 W Acacia St, Suite 11, Stockton, CA 95203-2441 | 2006-09-16 |
| 1164527883 | Lakshma R Tiyyagura | Internal Medicine | 420 W Acacia St, # 18, Stockton, CA 95203-2441 | 2006-09-14 |
| 1699780494 | Bhagya Nakka | Specialist | 420 W Acacia St, Suite 22, Stockton, CA 95203-2441 | 2006-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899349 | Sagrario Alva Chavez | Technician | Sagrario Chavez, 1248 West Park St., Stockton, CA 95203 | 2019-12-26 |
| 1538682810 | Kumars Transport | Non-emergency Medical Transport (VAN) | 1112 W Fremont St, Stockton, CA 95203 | 2017-07-19 |
| 1194251595 | Jesmond Ridge Medical Services A Medical Corporation | Emergency Medicine | 525 W Acacla St, Stockton, CA 95203 | 2017-05-04 |
| 1285011064 | Brian Andrew Reuter | Emergency Medicine | Dameron Hospital, 525 Acacia St, Stockton, CA 95203 | 2015-04-30 |
| 1548209240 | Aaron James Simko | Pediatrics | 525 Acacia Street, Neonatal Department, Stockton, CA 95203 | 2006-06-06 |
| 1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
| 1619350634 | Sudha Vani Saduvala | Internal Medicine | 525 W Acacia St, Stockton, CA 95203 | 2015-07-08 |
| 1740621671 | Syed Salman Ali | Internal Medicine | 525 W Acacia St, Stockton, CA 95203 | 2013-07-08 |
| 1417021726 | Sahir Naseer | Emergency Medicine | 525 W Acacia St, Stockton, CA 95203 | 2006-11-20 |
| 1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
| Find all providers in zip 95203 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180630 | Wisdom 7, LLC | Home Health | 87 W March Ln Ste 1, Stockton, CA 95207-5731 | 2020-10-05 |
| 1760001051 | Family Support Home Care LLC | Home Health | 1872 Gordon Verner Cir, Stockton, CA 95206 | 2020-04-16 |
| 1497302756 | Travel Group Caregivers LLC | Home Health | 5637 N Pershing Ave Ste C11e, Stockton, CA 95207-4944 | 2019-08-21 |
| 1750850210 | Clear Choice Home Health Care, Inc. | Home Health | 4550 N Pershing Ave Ste H, Stockton, CA 95207-6737 | 2018-11-14 |
| 1679003131 | Patient Care First | Home Health | 829 Rosemarie Ln Ste H, Stockton, CA 95207-6221 | 2017-06-18 |
| 1720539695 | Home Health of California LLC | Home Health | 11 S San Joaquin St, Ste 506, Stockton, CA 95202-3202 | 2016-10-17 |
| 1578911459 | Home Health of California Inc | Home Health | 1145 N California St Ste 205, Stockton, CA 95202 | 2016-06-01 |
| 1578943387 | Maxnursing Home Health | Home Health | 1435 Telegraph Ave, Stockton, CA 95204-1727 | 2015-06-05 |
| 1780077867 | Kanathan LLC | Home Health | 4450 Saint Andrews Dr, Stockton, CA 95219-1887 | 2015-03-12 |
| 1588979264 | Amedisys California LLC | Home Health | 10100 Trinity Pkwy, Suite 410, Stockton, CA 95219-7238 | 2010-08-18 |
| 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.