STEVENS KIM MD AND STEPHEN LIN MD MEDICAL GROUP INC (NPI# 1669540118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669540118 |
| Entity Type | Organization |
| Organization Name | STEVENS KIM MD AND STEPHEN LIN MD MEDICAL GROUP INC |
| Other Organization Name | VALLEY LASER SURGERY CENTER, INC. |
| Practice Address |
36 W Yokuts Ave Suite 3 Stockton CA 95207-5713 |
| Practice Telephone | 2099521189 |
| Practice Fax Number | 2099521174 |
| Mailing Telephone | 2099521189 |
| Mailing Fax Number | 2099521174 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | STEVENS YOUNG JUN KIM (SECRETARY AND TREASURER) |
| Authorized Official Telephone | 2099521189 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
G76813 | CA | Ambulatory Health Care Facilities |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Valley Laser Surgery Center, Inc. | Doing Business As Name - Organization |
| Street Address |
36 W YOKUTS AVE SUITE 3 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366493629 | Kimberly P. Cockerham | Ophthalmology | 36 W Yokuts Ave, Stockton, CA 95207-5713 | 2006-05-12 |
| 1447510953 | Usiwoma Esenighe Ene Abugo | Ophthalmology | 36 W Yokuts Ave, Suite 1, Stockton, CA 95207-5713 | 2012-05-18 |
| 1801164827 | Daniel Youngjun Choi | Ophthalmology | 36 W Yokuts Ave, Suite 1, Stockton, CA 95207-5713 | 2011-12-05 |
| 1356664429 | Esfandiar Jason Sabet-peyman | Ophthalmology | 36 W Yokuts Ave, Stockton, CA 95207-5713 | 2010-03-03 |
| 1619099413 | Central Valley Eye Medical Group | Eyewear Supplier (Equipment, not the service) | 36 W Yokuts Ave, Stockton, CA 95207-5713 | 2007-04-04 |
| 1891871034 | Daniel C Sisemore | Ophthalmology | 36 W Yokuts Ave, Suite 1, Stockton, CA 95207-5713 | 2006-10-31 |
| 1144255449 | Abraham Magallanez | Optometrist | 36 W Yokuts Ave, Suite 1, Stockton, CA 95207-5713 | 2006-07-12 |
| 1073559514 | Fely T Escara | Specialist | 36 W Yokuts Ave, Stockton, CA 95207-5713 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625995 | National Surgical Centers Stockton, LLC | Clinic/Center | 415 E Harding Way Ste E, Stockton, CA 95204-6118 | 2020-06-25 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 1609041813 | Dental Surgery Centers of America | Clinic/Center | 1523 E March Ln Ste A, Stockton, CA 95210-5607 | 2008-04-29 |
| 1225138647 | American Dental Surgery Centers, Inc. | Clinic/Center | 1523 E. March Ln., Suite 100, Stockton, CA 95210-5663 | 2006-09-25 |
| 1730112178 | San Joaquin Laser and Surgery Center Inc | Clinic/Center | 1805 N California St Ste 101a, Stockton, CA 95204-6032 | 2006-07-09 |
| 1245285857 | Ambulatory Surgery Center of Eager Steven E Md Gen Ptr | Clinic/Center | 2388 N California St, Stockton, CA 95204-5506 | 2006-05-23 |
| 1619974219 | St. Joseph's Surgery Center Lp | Clinic/Center | 1800 N California St, Ste 1, Stockton, CA 95204-6019 | 2005-06-28 |
| 1417405234 | Psc Stockton Outpatient Surgery Center, LLC | Clinic/Center | 1805 N California St, Suite 405, Stockton, CA 95204-6037 | 2016-09-21 |
| 1467825844 | Sutter Valley Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209-2841 | 2015-11-05 |
| 1598158487 | California Street Outpatient Surgery Center, LLC | Clinic/Center | 1805 N California St, Suite 405, Stockton, CA 95204-6037 | 2015-03-17 |
| 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.