MR. HARSIMRAN SINGH BASRA (NPI# 1710220454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710220454 |
| Entity Type | Individual |
| Full Name | MR. HARSIMRAN SINGH BASRA |
| Credential | MD |
| Practice Address |
2505 W Hammer Ln Stockton CA 95209-2839 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 2099543370 |
| Practice Fax Number | 2094739298 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A151896 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| Street Address |
2505 W HAMMER LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95209-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770022 | Daniel J Cooper | Family Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2005-09-13 |
| 1902326697 | Arpit Chandrakant Patel | Family Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2017-06-22 |
| 1477084655 | Pei Chuan Bellor-yeh | Family Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2017-03-21 |
| 1386097889 | Dherain Patel | Family Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2016-07-20 |
| 1356716179 | Sutter Valley Medical Foundation | Internal Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2015-12-04 |
| 1366827479 | Sapna Malik | Family Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2015-07-30 |
| 1770986424 | Madhuri Kasireddy | Internal Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2014-10-08 |
| 1588087738 | Seema Abbasi | Internal Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2014-01-23 |
| 1275974701 | Glenda Lando | Nurse Practitioner | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2013-07-12 |
| 1326300245 | Christopher Adamo Russo | Internal Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2012-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
| 1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
| 1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
| 1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
| 1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
| 1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 1881845790 | Gary Earl Fiscus | Dentist | 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209 | 2008-10-09 |
| 1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
| 1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956132 | Adventist Health Physicians Network | Internal Medicine | 10200 Trinity Pkwy Ste 102, Stockton, CA 95219-7287 | 2020-06-16 |
| 1750773792 | Centurion Valley Healthcare Inc. | Internal Medicine | 6337 Brook Hollow Cir, Stockton, CA 95219-2441 | 2015-02-27 |
| 1134477599 | Mahboob Ali | Internal Medicine | 1801 E March Ln Ste A170, Stockton, CA 95210-6673 | 2012-08-16 |
| 1841586781 | Brian Aloyisus Boyle | Internal Medicine | 112 Dunkard Church Rd, Stockton, NJ 08559-1406 | 2011-06-20 |
| 1154635506 | Shalini Madugundi | Internal Medicine | 2015 E Mariposa Rd, Stockton, CA 95205-7735 | 2010-07-27 |
| 1952534927 | Geriatrics Long Term Care Medical Corporation | Internal Medicine | 1240 Robinhood Drive, Suite A, Stockton, CA 95207-5507 | 2009-08-25 |
| 1558504514 | Ivan Safonoff | Internal Medicine | 90 Stompf Tavern Rd, Stockton, NJ 08559-1801 | 2009-04-07 |
| 1427212653 | Connie Tang Singh | Internal Medicine | 1801 E March Ln Ste C310, Stockton, CA 95210-6683 | 2008-07-16 |
| 1285897892 | Rashaad Ahmed Chothia | Internal Medicine | 415 E Harding Way Ste I, Stockton, CA 95204 | 2008-07-03 |
| 1346400546 | Swetha Ramachandran | Internal Medicine | 5049 Pine Lake Ct, Stockton, CA 95219-2030 | 2008-06-11 |
| 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.