Pediatric Care Of Stockton in Stockton - Pediatrics

Pediatric Care Of Stockton - NPI 1790844769

Pediatric Care Of Stockton is a Pediatrics in Stockton, California. Pediatric Care Of Stockton practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pediatric Care Of Stockton is 1790844769. The last update date is 2023-02-23.

Pediatric Care Of Stockton's current location address is 2800 N California Street, Stockton, California. You can contact this provider via phone number 2094642605 and fax number 2094642711. The mailing address for Pediatric Care Of Stockton is 2800 N California Street, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Care Of Stockton
Address 2800 N California Street, Stockton, California
Phone Number 2094642605
Fax Number 2094642711
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Sachdeva K Suresh
Credentials M.D.
Telephone Number 2094642695

NPI Number Detail

NPI Number 1790844769
Provider Enumeration Date 2006-12-06
Last Updated Date 2023-02-23

Provider Mailing Address Detail

Address 2800 N California Street
City Stockton
State California (CA)
Post Code 952043759
Phone Number 2094642605
Fax Number 2094642711

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No A64522
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A64522 CA MEDICAL LICENSE NUMBER
00A645220 CA --

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FAQs about Pediatric Care Of Stockton

What is the unique identification code assigned to Pediatric Care Of Stockton by the Centers for Medicare & Medicaid Services?

The Pediatric Care Of Stockton has been issued the NPI (National Provider Identifier) 1790844769. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Pediatric Care Of Stockton?

The Pediatric Care Of Stockton is situated at 2800 N California Street, in the city of Stockton, state of CA, with the zip code 952043759.

What is Pediatric Care Of Stockton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Pediatric Care Of Stockton's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1790844769 to Pediatric Care Of Stockton?

The Pediatric Care Of Stockton received its 1790844769 assignment from the Centers for Medicare & Medicaid Services on 2006-12-06.

When was the information regarding Pediatric Care Of Stockton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Pediatric Care Of Stockton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-02-23.

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