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KING FAMILY CENTER HEALTH CLINIC
NPI 1164586772
Clinic/Center - Federally Qualified Health Center (FQHC) in Stockton, CA

Active since December 20, 2006
2640 E LAFAYETTE ST, STOCKTON, CA 95205(209) 933-7232(209) 466-6527 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About King Family Center Health Clinic NPPES

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

KING FAMILY CENTER HEALTH CLINIC (NPI 1164586772) is a healthcare organization registered as a federally qualified health center (fqhc) in Stockton, California and active in the NPI registry since December 2006. The organization lists Michael H. Kirkpatrick, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1164586772
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY MEDICAL CENTERS, INC.
Location Address2640 E LAFAYETTE STStockton, CA 95205-5713
Mailing AddressP. O. Box 779, 7210 Murray DrStockton, CA 95201-0779 · (209) 373-2833 · Fax (209) 373-2878
Phone(209) 933-7232
Fax(209) 466-6527
Organization SubpartNo
Authorized OfficialMichael H. KirkpatrickChief Executive Officer · (209) 373-2833
Enumeration DateDecember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164586772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 0300000561
2640 E LAFAYETTE ST, Stockton, CA 95205
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Other Names 1

Doing Business AsKing Family Center Health Clinic

Other Identifiers 1

MedicaidFHC70629FCA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

King Family Center Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

153

Medicare enrollment records show 153 clinicians reassign Medicare billing to King Family Center Health Clinic, which bills Medicare for the services they deliver. Of these, 72 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner42
Family Practice28
Pediatric Medicine28
Internal Medicine15
Clinical Social Worker14
Registered Dietitian or Nutrition Professional6
Chiropractic5
Certified Nurse Midwife (CNM)3
9 other specialties12

Nearest to this location (20)

See all 153
Sharon Corbin, APRN
Nurse Practitioner
NPI 1134666076
2524 E MAIN ST
Stockton, CA 95205
(203) 508-3227
✔ PECOS0.3 mi
Kwabena Adubofour, M.D.
Internal Medicine
NPI 1033142088
2524 E MAIN ST
Stockton, CA 95205
(800) 249-9497
✔ PECOS0.3 mi
Sukhreet Ghuman, MD
Addiction Medicine
NPI 1194212316
1031 WATERLOO RD
Stockton, CA 95205
(209) 940-5600
✔ PECOS1.3 mi
Justine Carlo Guevarra, MD
Family Practice
NPI 1720710981
1031 WATERLOO RD
Stockton, CA 95205
(209) 373-2800
✔ PECOS✔ Accepts Medicare1.4 mi
Angie Main, LCSW
Clinical Social Worker
NPI 1699193706
1031 WATERLOO RD
Stockton, CA 95205
(209) 940-5662
✔ PECOS1.4 mi
Sadichchha Parajuli
Family Practice
NPI 1306580444
1031 WATERLOO RD
Stockton, CA 95205
(209) 940-5600
✔ PECOS✔ Accepts Medicare1.4 mi
Kia Sanford, D.O.
Pediatric Medicine
NPI 1942682398
1031 WATERLOO RD
Stockton, CA 95205
(209) 940-5600
✔ PECOS1.4 mi
Jasmine Ghuman, MD
Internal Medicine
NPI 1558914465
2015 S MARIPOSA RD
Stockton, CA 95205
(209) 373-2816
✔ PECOS✔ Accepts Medicare1.4 mi
Miriam Lakes, NP
Nurse Practitioner
NPI 1871164822
747 CHANNEL STREET
Stockton, CA 95202
(209) 944-4700
✔ PECOS1.7 mi
Elizabeth Castillo, N.P.
Nurse Practitioner
NPI 1760672141
701 E CHANNEL ST
Stockton, CA 95202
(209) 940-4700
✔ PECOS1.7 mi
Erin Garcia
Registered Dietitian or Nutrition Professional
NPI 1982101911
701 E CHANNEL ST
Stockton, CA 95202
(209) 373-2821
1.7 mi
Aziz Khambati, M.D.
Internal Medicine
NPI 1659447373
701 E CHANNEL ST
Stockton, CA 95202
(209) 944-4700
✔ PECOS✔ Accepts Medicare1.7 mi
Alyssa Scotese, RDN
Registered Dietitian or Nutrition Professional
NPI 1417592593
425 N CALIFORNIA ST STE 7
Stockton, CA 95202
(209) 870-5000
✔ Accepts Medicare1.9 mi
Leihua Mcmiller, LMFT
Marriage and Family Therapist
NPI 1720718000
1212 N CALIFORNIA ST
Stockton, CA 95202
(209) 468-8891
✔ PECOS2.1 mi
Hermes Aguilar
Clinical Social Worker
NPI 1467782979
1149 N EL DORADO ST
Stockton, CA 95202
(209) 468-2335
✔ PECOS✔ Accepts Medicare2.3 mi
Siva Pavani Puppala, MD
Pediatric Medicine
NPI 1659702819
2349 N CALIFORNIA ST
Stockton, CA 95204
(209) 469-2229
✔ PECOS2.5 mi
Shilpa Sammeta, M.D.
Psychiatry
NPI 1134474950
2349 N CALIFORNIA ST
Stockton, CA 95204
(209) 469-2229
✔ PECOS✔ Accepts Medicare2.5 mi
Don Smallie, DC
Chiropractic
NPI 1023057601
2027 GRAND CANAL BLVD SUITE 21
Stockton, CA 95207
(209) 957-9601
4.8 mi
Annie Thor, CNM
Certified Nurse Midwife (CNM)
NPI 1750831178
7210 MURRAY DR
Stockton, CA 95210
(209) 373-2800
✔ PECOS4.8 mi
Scott Howard, ED.D.
Clinical Psychologist
NPI 1952421521
1341 W ROBINHOOD DR STE B2
Stockton, CA 95207
(209) 468-2385
✔ PECOS✔ Accepts Medicare4.9 mi
See all 153 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Community Medical Centers, Inc.'s NPI number?

The NPI number for Community Medical Centers, Inc. is 1164586772. It was assigned to this organization in the NPPES registry on December 20, 2006. The provider is doing business as King Family Center Health Clinic.

Where is Community Medical Centers, Inc. located?

Community Medical Centers, Inc. is located at 2640 E Lafayette St, Stockton, CA 95205. The listed phone number is (209) 933-7232.

What is Community Medical Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Community Medical Centers, Inc. enrolled in Medicare?

Yes. Community Medical Centers, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Medical Centers, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 153 clinicians in 17 Medicare specialties reassign their Medicare billing to Community Medical Centers, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (42), Family Practice (28) and Pediatric Medicine (28). Of these, 72 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Community Medical Centers, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.