COMMUNITY MEDICAL CENTERS (NPI# 1861665309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861665309 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CENTERS |
| Practice Address |
1721 E Hammer Ln Stockton CA 95210-4116 |
| Mailing Address |
Po Box 779 Stockton CA 95201-0779 |
| Practice Telephone | 2097515200 |
| Practice Fax Number | 2097515252 |
| Mailing Telephone | 2093732828 |
| Mailing Fax Number | 2093732878 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | MR. PAUL B WANDEL (CFO) |
| Authorized Official Telephone | 2093732828 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BCCCP | BCP99999 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912173121 | Community Medical Centers | Family Medicine | 1600 50th St, Sacramento, CA 95819-4409 | 2008-05-07 |
| 1801887716 | Community Medical Centers | Clinic/Center | 265 W Saint Charles St, # 3, San Andreas, CA 95249-9618 | 2005-10-31 |
| 1588837025 | Community Medical Centers | Clinic/Center | 2003 E Mariposa Rd, Stockton, CA 95205-7735 | 2008-04-04 |
| 1942473483 | Community Medical Centers | Clinic/Center | 600 Nut Tree Rd Ste 310, Vacaville, CA 95687-4686 | 2008-04-04 |
| 1396918835 | Community Medical Centers | Clinic/Center | 2003 E Mariposa Rd, Stockton, CA 95205-7735 | 2008-04-04 |
| 1336311679 | Community Medical Centers | Clinic/Center | 600 Nut Tree Rd Ste 310, Vacaville, CA 95687-4686 | 2008-03-27 |
| 1881866309 | Community Medical Centers | Clinic/Center | 1721 E Hammer Ln, Stockton, CA 95210-4116 | 2008-03-25 |
| 1477675049 | Community Medical Centers | Clinic/Center | 265 West St. Charles Street, San Andreas, CA 95249-1107 | 2007-04-04 |
| 1225156375 | Community Medical Centers | Clinic/Center | 730 Central Ave, Tracy, CA 95376-4104 | 2007-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEDICAL CENTERS, INC. | 7210 Murray Dr, Stockton, CA 95210-3339 |
| Street Address |
1721 E HAMMER LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427128990 | Kamela Taheri | Pediatrics | 1721 E Hammer Ln, Stockton, CA 95210-4124 | 2006-11-09 |
| 1750917191 | Ruby Corona Arias | Social Worker | 1721 E Hammer Ln, Stockton, CA 95210-4124 | 2020-03-17 |
| 1851882591 | Stephanie Rochelle Darosa | Nurse Practitioner | 1721 E Hammer Ln, Stockton, CA 95210 | 2018-05-29 |
| 1619464484 | Shakera Kathleen Snelling | Nurse Practitioner | 1721 E Hammer Ln, Stockton, CA 95210-4124 | 2018-04-17 |
| 1881866309 | Community Medical Centers | Clinic/Center | 1721 E Hammer Ln, Stockton, CA 95210-4116 | 2008-03-25 |
| 1538223375 | Community Medical Centers, Inc. | Clinic/Center | 1721 E Hammer Ln, Suite A, Stockton, CA 95210-4116 | 2006-12-19 |
| 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.