CORKY HUL MEDICAL ASSOC (NPI# 1962805630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962805630 |
| Entity Type | Organization |
| Organization Name | CORKY HUL MEDICAL ASSOC |
| Other Organization Name | NORCAL OCCUPATIONAL MED CENTER |
| Practice Address |
4722 Quail Lakes Dr Stockton CA 95207-5256 |
| Practice Telephone | 2096101800 |
| Mailing Telephone | 2096101800 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |
| Authorized Official Name | CORKY J HULL (PRESIDENT) |
| Authorized Official Telephone | 2093239394 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NorCal Occupational Med Center | Doing Business As Name - Organization |
| Street Address |
4722 QUAIL LAKES DR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598793507 | Vitune Vongtama | Radiology | 4722 Quail Lakes Dr, Stockton, CA 95207-5244 | 2006-06-29 |
| 1245434083 | Dan Vongtama | Radiology | 4722 Quail Lakes Dr, Stockton, CA 95207-5256 | 2007-06-14 |
| 1386784114 | V. Vongtama Md Inc | Radiology | 4722 Quail Lakes Dr, Stockton, CA 95207-5244 | 2007-02-08 |
| 1902914963 | William D Mcdonald | Podiatrist | 4722 Quail Lakes Dr, Suite A, Stockton, CA 95207-5256 | 2006-08-29 |
| 1659399202 | Pacific Wound Center Medical Group, Inc. | Internal Medicine | 4722 Quail Lakes Dr, Suite A, Stockton, CA 95207-5256 | 2006-07-18 |
| 1629008339 | Annette Maria Seiler | Family Medicine | 4722 Quail Lakes Dr, Suite A, Stockton, CA 95207-5256 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023566098 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 3663 E Arch Rd, Suite 400, Stockton, CA 95215 | 2016-09-19 |
| 1932570322 | Alan Randle | Preventive Medicine | 4114 Pebble Beach Dr, Stockton, CA 95219-1912 | 2015-10-12 |
| 1538616586 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 1429 W Fremont St, Stockton, CA 95203-2635 | 2016-09-07 |
| 1003181173 | Gary Wayne Matravers | Preventive Medicine | 11600 Stark Rd, Stockton, UT 84071-9712 | 2012-03-21 |
| 1437270477 | Donald Lee Rossman | Preventive Medicine | 420 W Acacia St Ste 2, Stockton, CA 95203-2441 | 2007-04-03 |
| 1245351378 | Corky J Hull | Preventive Medicine | 420 W Acacia St Ste 19, Stockton, CA 95203-2441 | 2007-04-03 |
| 1912085820 | Zhong Ling | Preventive Medicine | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
| 1144308966 | Vijendra P. Govind | Preventive Medicine | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616240 | Universal Point Clinics Corporation | Preventive Medicine | 1236 Brooks St, Ontario, CA 91762-3608 | 2020-10-09 |
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1790332260 | Aftim A Saba | Preventive Medicine | 1675 7th St Rm 232, Oakland, CA 94615-0002 | 2019-08-20 |
| 1619520905 | Lauren Krumholz Edwards | Preventive Medicine | 3421 Empresa Dr Ste D, San Luis Obispo, CA 93401-7364 | 2019-07-16 |
| 1184285827 | Gurmu Occmed Services Inc | Preventive Medicine | 500 Greenfield Ave, Hanford, CA 93230-3515 | 2019-06-24 |
| 1831605625 | Med Fit Consulting, Inc. | Preventive Medicine | 10425 Tierrasanta Blvd Ste 108, San Diego, CA 92124-2618 | 2017-12-16 |
| 1619482239 | American Health Enterprises, Inc. | Preventive Medicine | 9500 Stockdale Hwy Ste 101, Bakersfield, CA 93311-3621 | 2017-12-05 |
| 1295249548 | Rose Donna Maria Baytop | Preventive Medicine | 2200 Pacific Hwy # Mzq-4, San Diego, CA 92101-1745 | 2017-11-24 |
| 1699295790 | U.S. Healthworks Medical Group, P.C. | Preventive Medicine | 2550 N Hollywood Way Ste 100, Burbank, CA 91505-5015 | 2017-06-21 |
| 1427588706 | Metro Healthcare Medical Corporation | Preventive Medicine | 3440 Wilshire Blvd Ste 1207, Los Angeles, CA 90010-2127 | 2017-06-19 |
| Find all providers with the same taxonomy | ||||
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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.