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MEDCORE HP
NPI 1063943223
Specialist in Stockton, CA

Active since March 21, 2017CLIA 05D2119217 · Waiver
2701 E HAMMER LN, SUITE 103, STOCKTON, CA 95210(209) 320-2631(209) 320-2653 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medcore Hp NPPES

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

MEDCORE HP (NPI 1063943223) is a healthcare organization registered as a specialist in Stockton, California and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Maria Teresa Martinez, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1063943223
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMEDCORE HP
Location Address2701 E HAMMER LN, SUITE 103Stockton, CA 95210-4245
Mailing Address2609 E Hammer LaneStockton, CA 95210 · (209) 320-2631 · Fax (209) 320-2653
Phone(209) 320-2631
Fax(209) 320-2653
Organization SubpartYesParent: Omni Ipa Medical Group, Inc.
Authorized OfficialMaria Teresa MartinezChief Operations Officer · (209) 320-2631
Enumeration DateMarch 21, 2017
✔ NPI 1063943223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2701 E HAMMER LN, Stockton, CA 95210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2119217

Medcore · Stockton, CA
Active · expires Sep 20, 2026
CLIA Number05D2119217
Laboratory TypeHealth Promotion Ctr
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorSatinder Singh
Laboratory Phone(209) 320-2627
Laboratory LocationMedcore2701 E Hammer Ln Ste 103, Stockton, CA 95210
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. HARBHAJAN SINGH SHERGILL MD
General Practice
2701 E HAMMER LN, STE 103
STOCKTON, CA 95210
San Joaquin County (209) 320-2650

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 Medcore Hp's NPI number?

The NPI number for Medcore Hp is 1063943223. It was assigned to this organization in the NPPES registry on March 21, 2017.

Where is Medcore Hp located?

Medcore Hp is located at 2701 E Hammer Ln Suite 103, Stockton, CA 95210. The listed phone number is (209) 320-2631.

What is Medcore Hp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Medcore Hp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2119217) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medcore Hp was last updated on March 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.