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ST. MARY'S DINING ROOM
NPI 1063135762
Voluntary or Charitable in Stockton, CA

Active since September 19, 2022
545 W SONORA ST, STOCKTON, CA 95203(209) 467-0703 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St. Mary's Dining Room NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. MARY'S DINING ROOM (NPI 1063135762) is a healthcare organization registered as a voluntary or charitable in Stockton, California and active in the NPI registry since September 2022. The organization lists Petra Linden, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1063135762
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameST. MARY'S DINING ROOM
Location Address545 W SONORA STStockton, CA 95203-3329
Mailing Address545 W Sonora StStockton, CA 95203-3329 · (209) 467-0703
Phone(209) 467-0703
Organization SubpartNo
Authorized OfficialPetra LindenChief Executive Officer · (209) 467-0703
Enumeration DateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1063135762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
545 W SONORA ST, Stockton, CA 95203
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL BEAS
Case Manager/Care Coordinator
545 W SONORA ST
STOCKTON, CA 95203
San Joaquin County (209) 337-3298
KRYSTLE RODRIGUEZ
Community Health Worker
545 W SONORA ST
STOCKTON, CA 95203
San Joaquin County (209) 888-9086
BLANCA NOEMI MEJIA MILLS ASW
Social Worker (Clinical)
545 W SONORA ST
STOCKTON, CA 95203
San Joaquin County (209) 337-3298
SANDRA GARCIA
Community Health Worker
545 W SONORA ST
STOCKTON, CA 95203
San Joaquin County (209) 954-7702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Mary's Dining Room's NPI number?

The NPI number for St. Mary's Dining Room is 1063135762. It was assigned to this organization in the NPPES registry on September 19, 2022.

Where is St. Mary's Dining Room located?

St. Mary's Dining Room is located at 545 W Sonora St, Stockton, CA 95203. The listed phone number is (209) 467-0703.

What is St. Mary's Dining Room's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

When was this NPI record last updated?

The NPPES record for St. Mary's Dining Room was last updated on September 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.