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EDSEL EMBRY MD
NPI 1184374605
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since March 27, 2022
1800 N CALIFORNIA ST, STOCKTON, CA 95204(209) 547-7177 Get Directions Write a Review

NPPES record last updated: March 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edsel Embry Md NPPES

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

EDSEL EMBRY MD (NPI 1184374605) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1184374605
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDSEL EMBRYCredential: MD
Location Address1800 N CALIFORNIA STStockton, CA 95204-6019
Mailing Address1800 N California StStockton, CA 95204-6019 · (209) 547-7177
Phone(209) 547-7177
Sole ProprietorNo
Enumeration DateMarch 27, 2022
NPPES CertifiedMarch 27, 2022
✔ NPI 1184374605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1800 N CALIFORNIA ST, Stockton, CA 95204
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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.

MONICA CHAPPIDI DO
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-5949
DEEPAK GIR MD
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7177
PRIYADEEP KANG MD
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7181
NANCY THI NGUYEN CF-SLP
Speech-Language Pathologist
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 943-2000
DR. VALERIE DEJESUS MD
Anesthesiology
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-5716
DR. AMATYA TARAN MD
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7177
LARRY GEORGE OTTERSTETTER DO
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7181
SHUBHPREET KAUR SOHAL
Nurse Practitioner (Family)
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 466-0456

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 Edsel Embry's NPI number?

The NPI number for Edsel Embry is 1184374605. It was assigned to this individual provider in the NPPES registry on March 27, 2022.

Where is Edsel Embry located?

Edsel Embry practices at 1800 N California St, Stockton, CA 95204. The listed phone number is (209) 547-7177.

What is Edsel Embry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Edsel Embry was last updated on March 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.