JACKLINE GRACE (NPI# 1689027252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689027252 |
| Entity Type | Individual |
| Full Name | JACKLINE GRACE |
| Credential | MD |
| Practice Address |
500 W. Hospital Rd. French Camp CA 95231-9693 |
| Mailing Address |
Po Box 1020 Stockton CA 95201-3120 |
| Practice Telephone | 2094686000 |
| Practice Fax Number | 2094687042 |
| Mailing Telephone | 2094686000 |
| Mailing Fax Number | 2094687042 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A159411 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
500 W. HOSPITAL RD. |
| City | FRENCH CAMP |
| State | CA |
| Zip Code | 95231-9693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801830583 | County of San Joaquin | General Acute Care Hospital | 500 W. Hospital Rd., French Camp, CA 95231 | 2006-06-15 |
| 1932552437 | Anpreet Singh | Student in an Organized Health Care Education/Training Program | 500 W. Hospital Rd., French Camp, CA 95231-9693 | 2016-07-20 |
| 1366895831 | Andrew Turner | Student in an Organized Health Care Education/Training Program | 500 W. Hospital Rd., French Camp, CA 95231-9693 | 2016-07-19 |
| 1083924351 | Quynh Tu Pham | Pharmacist | 500 W. Hospital Rd., French Camp, CA 95231-9989 | 2010-10-20 |
| 1194035535 | Jered Michael Arquiette | Pharmacist | 500 W. Hospital Rd., French Camp, CA 95231-8898 | 2010-10-19 |
| 1841426947 | Sreelatha Pottala | Obstetrics & Gynecology | 500 W. Hospital Rd., French Camp, CA 95231-9989 | 2009-06-03 |
| 1316133705 | Thaddeaus Wayne Bush Sr. | Counselor | 500 W. Hospital Rd., Recovery House, French Camp, CA 95231 | 2007-09-19 |
| 1902020423 | Sonja Genese Gabales | Counselor | 500 W. Hospital Rd., French Camp, CA 95231 | 2007-04-13 |
| 1275686495 | Mary N. Gordon | Nutritionist | 500 W. Hospital Rd., French Camp, CA 95231-9989 | 2007-01-19 |
| 1063565307 | Jeffrey Huey | Nutritionist | 500 W. Hospital Rd., French Camp, CA 95231-9989 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124264510 | San Joaquin General Hospital Dialysis Clinic | General Acute Care Hospital | 7783 S. Freedom Road, French Camp, CA 95231 | 2009-01-06 |
| 1427229731 | Vhee M Agcaoili | Social Worker | 7777 S. Freedom Road, Stockton, CA 95231 | 2008-03-13 |
| 1851576532 | Nikolas Bjorn Adamsson | Counselor | 10350 South Mckinley Avenue, French Camp, CA 95231 | 2007-12-31 |
| 1558557801 | County of San Joaquin | Clinic/Center | 7783 South Freedom Road, French Camp, CA 95231 | 2007-09-20 |
| 1962602847 | Julie Mai Dang | Pharmacist | 7777 South Freedom Drive, French Camp, CA 95231 | 2007-07-19 |
| 1548478142 | San Joaquin County Behavioral Health Services | Clinic/Center | 6861 Mary Graham Lane, French Camp, CA 95231 | 2007-05-18 |
| 1497968184 | San Joaquin County Behavioral Health Services | Substance Abuse Rehabilitation Facility | 500 W. Hospital Road, French Camp, CA 95231 | 2007-05-08 |
| 1891918793 | Randy Raymond Barretto | Counselor | 500 W. Hospitalm Rd, French Camp ., CA 95231 | 2007-04-10 |
| 1245352392 | Dora Florez | Counselor | 500 W Hospital Road, French Camp, CA 95231 | 2007-04-06 |
| 1538281506 | John Campos | Physical Therapy Assistant | 500 West Hospital Rd., French Camp, CA 95231 | 2007-04-03 |
| Find all providers in zip 95231 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942739487 | Robert Assibey | Family Medicine | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2017-06-08 |
| 1164950762 | Estefania S. Way | Family Medicine | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2017-05-25 |
| 1013365402 | Anuja Uttam Oza | Family Medicine | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2016-05-26 |
| 1134573827 | Yvan Pierre Ralph Tranquille | Family Medicine | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2016-04-19 |
| 1013379403 | Janani Sankaran | Family Medicine | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2016-03-24 |
| 1235511478 | Temitope Ajagbe | Family Medicine | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2015-06-24 |
| 1518349737 | Randeep Johl | Family Medicine | 500 W Hospital Rd, French Camp, CA 95231 | 2015-06-24 |
| 1740621747 | Juan Chiriboga Hurtado | Family Medicine | 500 W Hospital Rd, French Camp, CA 95231 | 2013-07-08 |
| 1952741985 | Kristina Carpenter | Family Medicine | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2013-07-05 |
| 1861730335 | Isabelle Soh | Family Medicine | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2013-01-17 |
| Find all providers in FRENCH CAMP | ||||
| City | FRENCH CAMP |
| Zip Code | 95231 |
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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.