DAMERON HOSPITAL HOME HEALTH


Address: 420 W Acacia St, Suite 14, Stockton, CA 95203-2441
Phone: 2094613103

DAMERON HOSPITAL HOME HEALTH (NPI# 1780614032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780614032
Entity Type Organization
Organization Name DAMERON HOSPITAL HOME HEALTH
Practice Address 420 W Acacia St
Suite 14
Stockton
CA 95203-2441
Practice Telephone 2094613103
Mailing Telephone 2094613103
Enumeration Date 2006-07-03
Last Update Date 2020-08-22
Authorized Official Name DR. CHRISTOPHER ARISMENDI (COO)
Authorized Official Telephone 2099445550
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health CA Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649321274 Dameron Hospital Home Health Home Health 420 W Acacia St, Stockton, CA 95203-2441 2007-01-12

Office Location

Street Address 420 W ACACIA ST
SUITE 14
City STOCKTON
State CA
Zip Code 95203-2441

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962401810 Peter G Hickox Specialist 420 W Acacia St, Sutie 11, Stockton, CA 95203-2441 2005-07-21
1174880835 Diego F Ferro Md Inc Internal Medicine 420 W Acacia St, Suite 1, Stockton, CA 95203-2441 2012-04-19
1174756027 Bhagya Nakka, M.d., Inc. Obstetrics & Gynecology 420 W Acacia St, Suite 22, Stockton, CA 95203-2441 2009-08-26
1700027877 Diego F. Ferro Specialist 420 W Acacia St, Suite 1, Stockton, CA 95203-2441 2009-03-18
1649321274 Dameron Hospital Home Health Home Health 420 W Acacia St, Stockton, CA 95203-2441 2007-01-12
1073663431 Dameron Hospital Association Pharmacy 420 W Acacia St, Stockton, CA 95203-2441 2007-01-10
1699857896 Alfredoleonmdinc Internal Medicine 420 W Acacia St, #6, Stockton, CA 95203-2441 2006-10-19
1982700969 Robert Charles Southmayd Obstetrics & Gynecology 420 W Acacia St, Suite 11, Stockton, CA 95203-2441 2006-09-16
1073619060 Big Valley Ob-gyn Medical Center,inc. Obstetrics & Gynecology 420 W Acacia St, Suite 11, Stockton, CA 95203-2441 2006-09-16
1164527883 Lakshma R Tiyyagura Internal Medicine 420 W Acacia St, # 18, Stockton, CA 95203-2441 2006-09-14
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770180630 Wisdom 7, LLC Home Health 87 W March Ln Ste 1, Stockton, CA 95207-5731 2020-10-05
1760001051 Family Support Home Care LLC Home Health 1872 Gordon Verner Cir, Stockton, CA 95206 2020-04-16
1497302756 Travel Group Caregivers LLC Home Health 5637 N Pershing Ave Ste C11e, Stockton, CA 95207-4944 2019-08-21
1750850210 Clear Choice Home Health Care, Inc. Home Health 4550 N Pershing Ave Ste H, Stockton, CA 95207-6737 2018-11-14
1679003131 Patient Care First Home Health 829 Rosemarie Ln Ste H, Stockton, CA 95207-6221 2017-06-18
1720539695 Home Health of California LLC Home Health 11 S San Joaquin St, Ste 506, Stockton, CA 95202-3202 2016-10-17
1578911459 Home Health of California Inc Home Health 1145 N California St Ste 205, Stockton, CA 95202 2016-06-01
1578943387 Maxnursing Home Health Home Health 1435 Telegraph Ave, Stockton, CA 95204-1727 2015-06-05
1780077867 Kanathan LLC Home Health 4450 Saint Andrews Dr, Stockton, CA 95219-1887 2015-03-12
1588979264 Amedisys California LLC Home Health 10100 Trinity Pkwy, Suite 410, Stockton, CA 95219-7238 2010-08-18
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Competitor

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City STOCKTON
Zip Code 95203

Improve Information

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Dataset Information

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.

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