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AMBULATORY SURGERY CENTER OF EAGER STEVEN E MD GEN PTR NPI 1245285857


NPI Information

NPI: 1245285857
Provider Name: AMBULATORY SURGERY CENTER OF EAGER STEVEN E MD GEN PTR

Other Name: AMBULATORY SURGERY CENTER OF STOCKTON

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2388 N CALIFORNIA ST
STOCKTON, CA
ZIP 95204
Phone: (209) 944-9100
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AMBULATORY SURGERY CENTER OF EAGER STEVEN E MD GEN PTR is an ambulatory surgical clinic center in Stockton, CA. AMBULATORY SURGERY CENTER OF EAGER STEVEN E MD GEN PTR NPI is 1245285857. The provider is registered as an organization entity type.
The provider Other Name Is Ambulatory Surgery Center Of Stockton.

The provider's business location address is:

2388 N CALIFORNIA ST
STOCKTON, CA
ZIP 95204-506
Phone: (209) 944-9100
Fax: (209) 944-4509

The provider's authorized official is Nicki Craig .
The authorized official title is Administrator and has the following contact phone number (209) 944-9100.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 8/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical030000758CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SUR01508FMEDICAIDCALIFORNIA
2ZZZ21066ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIANHIC PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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