Provider Type Icon

DOCTORS HOSPITAL OF MANTECA INC. NPI 1992736599


NPI Information

NPI: 1992736599
Provider Name: DOCTORS HOSPITAL OF MANTECA, INC.

Doing Business As: DOCTORS HOSPITAL OF MANTECA

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 05D2153488

Address:
1205 E NORTH ST
MANTECA, CA
ZIP 95336
Phone: (209) 823-3111
Get Directions

DOCTORS HOSPITAL OF MANTECA, INC. is a general acute care hospital in Manteca, CA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. DOCTORS HOSPITAL OF MANTECA, INC. NPI is 1992736599. The provider is registered as an organization entity type.
The provider Is Doing Business As Doctors Hospital Of Manteca.

The provider's business location address is:

1205 E NORTH ST
MANTECA, CA
ZIP 95336-932
Phone: (209) 823-3111

The provider's authorized official is Gregg Garrison .
The authorized official title is Cfo and has the following contact phone number (209) 823-8362.

The CLIA number assigned to this NPI record is 05D2153488 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 3/23/2022.


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
1282N00000XGeneral Acute Care Hospital030000203CALIFORNIAYes

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
1HSP40118GMEDICAIDCALIFORNIA
2ZZR00118GMEDICAIDCALIFORNIA
3163607300OTHERAETNA US HEALTHCARE (NATI
4HSC00118GMEDICAIDCALIFORNIA
5HSP40118HMEDICAIDCALIFORNIA
6000413OTHERHUMANA
7005073-0001OTHERPACIFICARE OF CALIFORNIA
8HSC30118GMEDICAIDCALIFORNIA
9ZZZC3910ZOTHERBS OF CALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.