DYCORA TRANSITIONAL HEALTH - WEBER OAKS LLC
NPI 1295278067
Skilled Nursing Facility in Stockton, CA

Active since November 28, 2016CLIA 05D0643984 · Waiver
2740 N CALIFORNIA ST, STOCKTON, CA 95204(209) 466-3522 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2018, Nov 30, 2017 (2 updates tracked since 2017).

About Dycora Transitional Health - Weber Oaks Llc NPPES

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

DYCORA TRANSITIONAL HEALTH - WEBER OAKS LLC (NPI 1295278067) is a healthcare organization registered as a skilled nursing facility in Stockton, California and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mary Hawkins, Executive, as its authorized official.

NPPES Registry Identity

NPI1295278067
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDYCORA TRANSITIONAL HEALTH - WEBER OAKS LLC
Location Address2740 N CALIFORNIA STStockton, CA 95204-5529
Mailing Address2740 N California StStockton, CA 95204-5529 · (209) 466-3522
Organization SubpartNo
Authorized OfficialMary HawkinsExecutive · (209) 466-3522
Enumeration DateNovember 28, 2016
Last NPPES UpdateJanuary 24, 20182 updates tracked since enumeration
NPI 1295278067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2740 N CALIFORNIA ST, Stockton, CA 95204

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 05D0643984

Dycora Transitional Health - Weber Oaks LLC · Stockton, CA
Active · expires Aug 31, 2026
CLIA Number05D0643984
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTaymor Malak
Laboratory Phone(209) 466-3522
Laboratory LocationDycora Transitional Health - Weber Oaks LLC2740 N California St, Stockton, CA 95204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
2740 N CALIFORNIA ST
STOCKTON, CA 95204
Registered Nurse
2740 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 Dycora Transitional Health - Weber Oaks LLC's NPI number?

The NPI number for Dycora Transitional Health - Weber Oaks LLC is 1295278067. It was assigned to this organization in the NPPES registry on November 28, 2016.

Where is Dycora Transitional Health - Weber Oaks LLC located?

Dycora Transitional Health - Weber Oaks LLC is located at 2740 N California St, Stockton, CA 95204. The listed phone number is (209) 466-3522.

What is Dycora Transitional Health - Weber Oaks LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Dycora Transitional Health - Weber Oaks LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0643984) is associated with this NPI, valid through August 31, 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 Dycora Transitional Health - Weber Oaks LLC was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.