Organization · Type 2 NPI

Dameron Hospital Association

Primary Care Clinic/Center · Stockton, CA

NPI number 1699195115 Active

Practice location

530 W Acacia St, Suite 1
Stockton, CA 95203-2454

Call (209) 944-5410 Map

Fax (209) 944-5477

Mailing address

525 W. Acacia Street, Attn: Finance Department
Stockton, CA 95203-2484

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

2 other providers at this address

California Primary Care Medical Group, Inc.Multi-Specialty Clinic/Center Stockton, CA NPI 1790910610
Dameron Medical Group, Inc.Family Medicine Physician Stockton, CA NPI 1033544325

Other primary care clinic/center providers in Stockton

See all in Stockton →

NPI record

NPI: 1699195115
Entity type: Organization (Type 2)
Issued: Apr 23, 2014
Last updated: Apr 24, 2014
Status: Active
Subpart: Yes of Dameron Hospital Associationi

Other names

<unavail>
Ambulatory Care Center · other name

Authorized official

Ms. Lorraine P. Auerbach
President & CEO
(209) 461-3100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699195115

Dameron Hospital Association's National Provider Identifier is 1699195115, issued on Apr 23, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Stockton, CA. The record was last updated on Apr 24, 2014.