UNIVERSITY OF THE PACIFIC (NPI# 1922105824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922105824 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF THE PACIFIC |
| Other Organization Name | PACIFIC HEALTH SERVICES |
| Practice Address |
3601 Pacific Ave Stockton CA 95211-0110 |
| Mailing Address |
1041 Brookside Rd Cowell Wellness Center Stockton CA 95211-0110 |
| Practice Telephone | 2099462315 |
| Practice Fax Number | 2099463001 |
| Mailing Telephone | 2099462315 |
| Mailing Fax Number | 2099463001 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-11-13 |
| Authorized Official Name | RANAI KOCH (EMR ADMINISTRATOR) |
| Authorized Official Telephone | 2099462994 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF THE PACIFIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacific Health Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428275 | University of The Pacific | Dentist | 155 5th St Ste 23m, San Francisco, CA 94103-2919 | 2019-07-12 |
| 1194186999 | University of The Pacific | Clinic/Center | 142 Alhambra St, San Francisco, CA 94123-2004 | 2016-03-08 |
| 1851414189 | University of The Pacific | Community/Behavioral Health | 405 E Pine St, Stockton, CA 95204-5522 | 2007-04-10 |
| 1588050942 | University of The Pacific | Dentist | 155 5th St, Business Office, San Francisco, CA 94103-2919 | 2015-04-13 |
| 1316344104 | University of The Pacific | Audiologist | 155 5th St, Audiology Clinic, San Francisco, CA 94103-2919 | 2014-11-24 |
| 1407273279 | University of The Pacific | Dentist | 155 5th St, Popl Suite 407e, San Francisco, CA 94103-2919 | 2014-03-18 |
| 1366870834 | University of The Pacific | Community/Behavioral Health | 405 E Pine St, Stockton, CA 95204-5522 | 2013-10-21 |
| 1295085413 | University of The Pacific | Pharmacist | 3601 Pacific Ave, T. J. Long School of Pharmacy, Stockton, CA 95211-0110 | 2012-09-14 |
| 1932345386 | University of The Pacific | Community/Behavioral Health | 405 E Pine St, Stockton, CA 95204-5522 | 2009-01-06 |
| 1679766398 | University of The Pacific | Audiologist-Hearing Aid Fitter | 3601 Pacific Ave, Department of Audiology, Stockton, CA 95211-0110 | 2007-08-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | UNIVERSITY OF THE PACIFIC | 3601 Pacific Ave, Stockton, CA 95211 |
| Street Address |
3601 PACIFIC AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95211-0110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798880 | Philip J Gregory | Pharmacist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2005-05-23 |
| 1295357341 | Lena Saucedo | Student in an Organized Health Care Education/Training Program | 3601 Pacific Ave, Stockton, CA 95211-4969 | 2020-05-12 |
| 1326680745 | Emily Ann Gahn | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2019-10-17 |
| 1497396832 | Enrique Becerra | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2019-10-07 |
| 1396386058 | Carly Anne Ranson | Pharmacist | 3601 Pacific Ave, Stockton, CA 95211-0197 | 2019-10-03 |
| 1124678750 | Breanna Moreira | Student in an Organized Health Care Education/Training Program | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2019-09-16 |
| 1437658374 | Aaren Mariah Robinson | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2018-02-06 |
| 1801395736 | Boone Alexander Meyer | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2018-02-06 |
| 1356879365 | Leah Sampson | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2017-06-02 |
| 1558807438 | Christina Marie Brekelmans | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2017-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114312253 | Antoinetta Nursing Service LLC | Adult Companion | 2300 Montana Ave Suite 200-b, Cincinnati, OH 95211 | 2015-04-06 |
| 1063799740 | Aunyaporn Amornpongchai | Audiologist | 3601 Pacific Avenue, Audiology Department, Stockton, CA 95211 | 2011-11-09 |
| 1518963453 | Veronica Tovar Bandy | Pharmacist | Thomas J Long School of Pharmacy & Health Sciences, 751 Brookside Road, Stockton, CA 95211 | 2005-06-24 |
| 1871927392 | Amy Lynn Diep | Pharmacist | University of The Pacific, 3601 Pacific Ave, Stockton, CA 95211 | 2013-09-03 |
| 1639274616 | Marilyn Garcia Javier | Nurse Practitioner | 1041 Brookside Rd, Stockton, CA 95211 | 2006-09-14 |
| 1316573249 | May Chen | Pharmacist | 757 Brookside Rd Phs 229, Stockton, CA 95211-0001 | 2020-03-23 |
| 1902221955 | Yvonne My Y Thuy Mai | Pharmacist | Department of Pharmacy Practice, 3601 Pacific Avenue, Stockton, CA 95211-0001 | 2014-02-27 |
| 1366636847 | Rachel Abella Sumaquial | Physician Assistant | 3601 Brookside Road, Stockton, CA 95211-0001 | 2007-08-28 |
| 1619169539 | Nancy Emilia Sirker | Student in an Organized Health Care Education/Training Program | 1526 Mosaic Way #450, Stockton, CA 95211-0001 | 2007-08-14 |
| 1295757714 | Beth Gleason Mcmanis | Nurse Practitioner | 1041 Brookside Rd, Stockton, CA 95211-0001 | 2006-07-24 |
| Find all providers in zip 95211 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992194278 | Alignment Healthcare Center | Clinic/Center | 2339 W Hammer Ln, Stockton, CA 95209-2368 | 2015-01-09 |
| 1669720157 | Community Medical Centers, Inc. | Clinic/Center | 2015 S Mariposa Rd, Stockton, CA 95205-7735 | 2012-08-15 |
| 1255469110 | Stockton Pregnancy Control Medical Clinic | Clinic/Center | 3209 N California St, Stockton, CA 95204-3448 | 2007-03-01 |
| 1407934458 | Delta Health Care and Managment Services Corp. | Clinic/Center | 1425 S Center St, Stockton, CA 95206-2016 | 2006-11-01 |
| 1669948055 | American Current Care of California, A Medical Corporation | Clinic/Center | 1429 W Fremont St, Stockton, CA 95203-2635 | 2018-10-23 |
| 1275027195 | Saving Grace Family Chiropractic | Clinic/Center | 724 West St, Stockton, MO 65785-7555 | 2018-06-15 |
| 1164926622 | Eileen Chatham | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2018-03-20 |
| 1518188366 | Madelaine Aquino, M.d. Inc. | Clinic/Center | 10200 Trinity Pkwy, Suite 207, Stockton, CA 95219-7286 | 2007-05-01 |
| 1215067228 | Savan Kourm | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2007-03-07 |
| 1194874404 | Donalee Kay Bates | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2007-01-09 |
| 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.