COMMUNITY MEDICAL CENTERS, INC (NPI# 1649525544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649525544 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CENTERS, INC |
| Other Organization Name | COMMUNITY MEDICAL CENTERS - GLEASON |
| Practice Address |
423 S San Joaquin St Community Medical Centers Gleason Stockton CA 95203-3537 |
| Mailing Address |
7210 Murray Dr Po Box 779 Stockton CA 95210-3339 |
| Practice Telephone | 2099547700 |
| Practice Fax Number | 2099547750 |
| Mailing Telephone | 2093732800 |
| Mailing Fax Number | 2093732878 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2016-03-23 |
| 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) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Medical Centers - Gleason | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558726786 | Community Medical Centers, Inc | Clinic/Center | 2044 Fair St, Stockton, CA 95206-2313 | 2015-12-14 |
| 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 |
| 1609867787 | Community Medical Centers, Inc | Clinic/Center | 730 N Central Ave, Tracy, CA 95376-4104 | 2005-10-28 |
| 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 |
423 S SAN JOAQUIN ST COMMUNITY MEDICAL CENTERS GLEASON |
| City | STOCKTON |
| State | CA |
| Zip Code | 95203-3537 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1891328803 | Community Medical Centers Inc | Clinic/Center | 1800 S Sutter St # 11b, Stockton, CA 95206-2004 | 2020-02-18 |
| 1558726786 | Community Medical Centers, Inc | Clinic/Center | 2044 Fair St, Stockton, CA 95206-2313 | 2015-12-14 |
| 1306984315 | Community Medical Centers, Inc | Clinic/Center | 2003 E Mariposa Rd, Stockton, CA 95205-7735 | 2007-02-02 |
| 1164586772 | Community Medical Centers, Inc. | Clinic/Center | 2640 E Lafayette St, Stockton, CA 95205-5713 | 2006-12-20 |
| 1578552543 | Community Medical Centers, Inc | Clinic/Center | 701 E Channel St, Stockton, CA 95202-2628 | 2005-10-20 |
| 1407460751 | Community Medical Centers Inc | Clinic/Center | 5151 Pacific Ave, Lock Center Room 126 & 128, Stockton, CA 95207-6304 | 2020-09-03 |
| 1205395712 | Community Medical Centers Inc | Clinic/Center | 1425 S Center St, Stockton, CA 95206-2016 | 2019-03-14 |
| 1205306628 | Community Medical Centers Inc | Clinic/Center | 2349 N California St, Stockton, CA 95204-5505 | 2018-11-28 |
| 1700373008 | Community Medical Centers Inc | Clinic/Center | 7912 West Ln Ste 221, Stockton, CA 95210-3159 | 2018-04-23 |
| 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.