STOCKTON OUTPATIENT SURGERY CENTER LLC


Address: 2388 N California St, Stockton, CA 95204-5506
Phone: 2099444508

STOCKTON OUTPATIENT SURGERY CENTER LLC (NPI# 1982942298) 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) 1982942298
Entity Type Organization
Organization Name STOCKTON OUTPATIENT SURGERY CENTER LLC
Other Organization Name AMBULATORY SURGERY CENTER OF STOCKTON
Practice Address 2388 N California St
Stockton
CA 95204-5506
Practice Telephone 2099444508
Practice Fax Number 2099444508
Mailing Telephone 2099444508
Mailing Fax Number 2099444508
Enumeration Date 2013-01-21
Last Update Date 2019-01-09
Authorized Official Name JENETHA D MORAN (AUTHORIZED OFFICIAL)
Authorized Official Telephone 9727633893
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Ambulatory Surgery Center of Stockton Doing Business As Name - Organization

Office Location

Street Address 2388 N CALIFORNIA ST
City STOCKTON
State CA
Zip Code 95204-5506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245285857 Ambulatory Surgery Center of Eager Steven E Md Gen Ptr Clinic/Center 2388 N California St, Stockton, CA 95204-5506 2006-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962027524 Kariem Abdelwahed Licensed Vocational Nurse 1630 N. Edison St Stockton Ca, Stockton, CA 95204 2020-06-10
1831730555 Ronnie C Murray Counselor 1947 North California Street, Stockton, CA 95204 2019-10-03
1235614116 Michelle Ann Horn Marriage & Family Therapist 3666 Mission Rd, Stockton, CA 95204 2018-09-26
1356830947 Stockton Pace PACE Provider Organization 582 E. Harding Way, Stockton, CA 95204 2018-05-09
1790228781 Rebecca Phongsa Counselor 1947 North Calfornia Street, Suite B, Stockton, CA 95204 2016-11-23
1700332905 Serim Kang Driver 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 2016-08-28
1033565544 Philip John Brereton Orthotist 466 E Harding Way, Stockton, CA 95204 2016-05-13
1932507522 David Grayson Counselor 1621 Brookside Rd, Stockton, CA 95204 2014-12-12
1174934897 Gurtej Malhi Internal Medicine 1901 N California Street, Stockton, CA 95204 2014-05-15
1396156170 Rajesh Saini Nurse Practitioner 1805 N California St. Suite 102, Stockton, CA 95204 2014-05-14
Find all providers in zip 95204

Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922625995 National Surgical Centers Stockton, LLC Clinic/Center 415 E Harding Way Ste E, Stockton, CA 95204-6118 2020-06-25
1316190796 Sutter Gould Medical Foundation Clinic/Center 8011 Don Ave, Stockton, CA 95209 2008-10-29
1609041813 Dental Surgery Centers of America Clinic/Center 1523 E March Ln Ste A, Stockton, CA 95210-5607 2008-04-29
1225138647 American Dental Surgery Centers, Inc. Clinic/Center 1523 E. March Ln., Suite 100, Stockton, CA 95210-5663 2006-09-25
1730112178 San Joaquin Laser and Surgery Center Inc Clinic/Center 1805 N California St Ste 101a, Stockton, CA 95204-6032 2006-07-09
1245285857 Ambulatory Surgery Center of Eager Steven E Md Gen Ptr Clinic/Center 2388 N California St, Stockton, CA 95204-5506 2006-05-23
1619974219 St. Joseph's Surgery Center Lp Clinic/Center 1800 N California St, Ste 1, Stockton, CA 95204-6019 2005-06-28
1417405234 Psc Stockton Outpatient Surgery Center, LLC Clinic/Center 1805 N California St, Suite 405, Stockton, CA 95204-6037 2016-09-21
1467825844 Sutter Valley Medical Foundation Clinic/Center 8011 Don Ave, Stockton, CA 95209-2841 2015-11-05
1598158487 California Street Outpatient Surgery Center, LLC Clinic/Center 1805 N California St, Suite 405, Stockton, CA 95204-6037 2015-03-17
Find all providers in STOCKTON

Competitor

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City STOCKTON
Zip Code 95204

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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