COUNTY OF SAN JOAQUIN NPI 1538400353

NPI Information

NPI: 1538400353
Provider Name: COUNTY OF SAN JOAQUIN

Doing Business As: SAN JOAQUIN COUNTY CLINICS HBC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1414 N CALIFORNIA STREET SUITE B
STOCKTON, CA
ZIP 95202
Phone: (209) 953-6400
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COUNTY OF SAN JOAQUIN is a multi-specialty clinic center in Stockton, CA. COUNTY OF SAN JOAQUIN NPI is 1538400353. The provider is registered as an organization entity type.
The provider Is Doing Business As San Joaquin County Clinics Hbc.

The provider's business location address is:

1414 N CALIFORNIA STREET SUITE B
STOCKTON, CA
ZIP 95202-515
Phone: (209) 953-6400
Fax: (209) 468-3977

The provider's authorized official is Farhan Fadoo .
The authorized official title is Chief Executive Officer and has the following contact phone number (209) 953-3700.

The CLIA number assigned to this NPI record is 05D2290960 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/4/2013 and was last updated on 4/11/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	030000087	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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