COMMUNITY MEDICAL CENTERS INC (NPI# 1700373008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700373008 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CENTERS INC |
| Other Organization Name | COMMUNITY MEDICAL CENTERS, WEST LANE |
| Practice Address |
7912 West Ln Ste 221 Stockton CA 95210-3159 |
| Mailing Address |
7210 Murray Dr Stockton CA 95210-3339 |
| Practice Telephone | 2096365000 |
| Practice Fax Number | 2097515252 |
| Mailing Telephone | 2093732800 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | CHRISTINE C NOGUERA (CEO) |
| Authorized Official Telephone | 2093732800 |
| 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, West Lane | Doing Business As Name - Organization |
| Community Medical Centers, West Lane Site | Doing Business As Name - Organization |
| 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 |
| 1043843428 | Community Medical Centers Inc | Pharmacy | 7912 West Lane, Ste. 221, Room 102, Stockton, CA 95210-3159 | 2020-02-13 |
| 1407460751 | Community Medical Centers Inc | Clinic/Center | 5151 Pacific Ave, Lock Center Room 126 & 128, Stockton, CA 95207-6304 | 2020-09-03 |
| 1710542816 | Community Medical Centers Inc | Clinic/Center | 2415 W Vine St Ste 100, Lodi, CA 95242-3731 | 2019-05-03 |
| 1164087268 | Community Medical Centers Inc | Clinic/Center | 2415 W Vine St Ste 105, Lodi, CA 95242-3731 | 2019-05-03 |
| 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 |
| 1164919049 | Community Medical Centers Inc | Clinic/Center | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2018-04-17 |
| 1497261606 | Community Medical Centers Inc | Clinic/Center | 2135 N Tracy Blvd, Tracy, CA 95376-2424 | 2017-12-26 |
| Street Address |
7912 WEST LN STE 221 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588059661 | Leonierose Namalata Dacuycuy | Internal Medicine | 7912 West Ln Ste 221, Stockton, CA 95210-3159 | 2015-04-05 |
| 1295366458 | Luz Elena Zapien | Nurse Practitioner | 7912 West Ln Ste 221, Stockton, CA 95210-3159 | 2020-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| 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 |
| 1649525544 | Community Medical Centers, Inc | Clinic/Center | 423 S San Joaquin St, Community Medical Centers Gleason, Stockton, CA 95203-3537 | 2012-07-17 |
| 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 |
| 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.