DAMERON HOSPITAL ASSOCIATION NPI 1699195115

NPI Information

NPI: 1699195115
Provider Name: DAMERON HOSPITAL ASSOCIATION
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Other Name: AMBULATORY CARE CENTER
Address: 530 W ACACIA ST
SUITE 1
STOCKTON, CA
ZIP 95203
Phone: (209) 944-5410

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NPI Details

DAMERON HOSPITAL ASSOCIATION is a primary care clinic center in Stockton, CA. DAMERON HOSPITAL ASSOCIATION NPI is 1699195115. The provider is registered as an organization entity type.
The provider Other Name Is Ambulatory Care Center.

The provider's business location address is:

530 W ACACIA ST
SUITE 1
STOCKTON, CA
ZIP 95203-454
Phone: (209) 944-5410
Fax: (209) 944-5477

The provider's authorized official is Lorraine P. Auerbach .
The authorized official title is President & Ceo and has the following contact phone number (209) 461-3100.

The enumeration date for this NPI number is 4/23/2014 and was last updated on 4/24/2014.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05-0122	OTHER		MEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

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