ST. JOSEPH'S MEDICAL CENTER
NPI 1144079161
Internal Medicine in Stockton, CA

Active since May 13, 2024CLIA 05D0609154 · Accreditation
1800 N CALIFORNIA ST, STOCKTON, CA 95204(209) 547-7177 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Joseph's Medical Center NPPES

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

ST. JOSEPH'S MEDICAL CENTER (NPI 1144079161) is a healthcare organization registered as an internal medicine in Stockton, California and active in the NPI registry since May 2024. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Breeana Carina Hernandez, Im Resident Physician, as its authorized official.

NPPES Registry Identity

NPI1144079161
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST. JOSEPH'S MEDICAL CENTER
Location Address1800 N CALIFORNIA STStockton, CA 95204-6019
Mailing Address1800 N California StStockton, CA 95204-6019 · (209) 547-7177
Organization SubpartNo
Authorized OfficialBreeana Carina HernandezIm Resident Physician · (209) 547-7177
Enumeration DateMay 13, 2024
NPPES CertifiedMay 13, 2024
NPI 1144079161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1800 N CALIFORNIA ST, Stockton, CA 95204

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Accreditation 05D0609154

St Josephs Medical Center · Stockton, CA
Active · expires Feb 27, 2027
CLIA Number05D0609154
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Jeffrey A. Mcdavit
Laboratory Phone(209) 467-6330
Laboratory LocationSt Josephs Medical Center1800 N California St, Stockton, CA 95204
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Speech-Language Pathologist
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Anesthesiology
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Nurse Practitioner (Family)
1800 N CALIFORNIA ST
STOCKTON, CA 95204

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. Joseph's Medical Center's NPI number?

The NPI number for St. Joseph's Medical Center is 1144079161. It was assigned to this organization in the NPPES registry on May 13, 2024.

Where is St. Joseph's Medical Center located?

St. Joseph's Medical Center is located at 1800 N California St, Stockton, CA 95204. The listed phone number is (209) 547-7177.

What is St. Joseph's Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does St. Joseph's Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0609154) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Joseph's Medical Center was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.