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STOCKTON REGIONAL REHABILITATION HOSPITAL LLC
NPI 1386390755
Rehabilitation Hospital in Stockton, CA

Active since February 24, 2022CLIA 05D2274457 · Accreditation
607 EAST MAGNOLIA STREET, STOCKTON, CA 95202(209) 687-5490 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2025, Feb 24, 2022 (2 updates tracked since 2022).

About Stockton Regional Rehabilitation Hospital Llc NPPES

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

STOCKTON REGIONAL REHABILITATION HOSPITAL LLC (NPI 1386390755), doing business as Stockton Regional Rehabilitation Hospital, is a healthcare organization registered as a rehabilitation hospital in Stockton, California and active in the NPI registry since February 2022. The organization holds an CLIA Accreditation certificate valid through December 18, 2027 and lists Denise Kann, Vice President, Secretary, as its authorized official.

NPPES Registry Identity

NPI1386390755
Entity TypeOrganization
Primary Taxonomy283X00000X
Legal Business NameSTOCKTON REGIONAL REHABILITATION HOSPITAL LLC
Location Address607 EAST MAGNOLIA STREETStockton, CA 95202
Mailing Address1024 N Galloway Ave Ste 102Mesquite, TX 75149-2434 · (972) 216-2299
Phone(209) 687-5490
Organization SubpartNo
Authorized OfficialDenise KannVice President, Secretary · (972) 216-2299
Enumeration DateFebruary 24, 2022
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1386390755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
Definition
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
607 EAST MAGNOLIA STREET, Stockton, CA 95202
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Other Names 1

Doing Business AsStockton Regional Rehabilitation Hospital

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 05D2274457

Stockton Regional Rehabilitation Hospital · Stockton, CA
Active · expires Dec 18, 2027
CLIA Number05D2274457
Laboratory TypeHospital
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorJeffrey A. Mcdavit
Laboratory Phone(209) 687-5490
Laboratory LocationStockton Regional Rehabilitation Hospital607 E Magnolia St, Stockton, CA 95202
CLIA data matches this NPI record on: Address Name Phone
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.

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Stockton Regional Rehabilitation Hospital (CMS certification number 053047), from CMS Care Compare.

Stockton Regional Rehabilitation Hospital

Inpatient rehabilitation facility · Stockton, CA
OwnershipFor profit
CMS Certification Number053047
Medicare-Certified SinceJuly 14, 2023
Location607 E Magnolia StreetStockton, CA 95202
Phone(717) 620-2424
Freestanding rehabilitation hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation
Nervous system disorder (excluding stroke)
27
patient stays
Stroke
22
patient stays
Hip or knee replacement, amputation or other bone or joint condition
20
patient stays
Brain disease or condition (non-traumatic)
Less than 11 patient stays
Brain injury (traumatic)
Less than 11 patient stays
Hip or femur fracture
Less than 11 patient stays
Spinal cord disease or condition (non-traumatic)
Less than 11 patient stays
Spinal cord injury (traumatic)
Less than 11 patient stays
All other conditions
31
patient stays
Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

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 Stockton Regional Rehabilitation Hospital LLC's NPI number?

The NPI number for Stockton Regional Rehabilitation Hospital LLC is 1386390755. It was assigned to this organization in the NPPES registry on February 24, 2022. The provider is doing business as Stockton Regional Rehabilitation Hospital.

Where is Stockton Regional Rehabilitation Hospital LLC located?

Stockton Regional Rehabilitation Hospital LLC is located at 607 East Magnolia Street, Stockton, CA 95202. The listed phone number is (209) 687-5490.

What is Stockton Regional Rehabilitation Hospital LLC's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

Does Stockton Regional Rehabilitation Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D2274457) is associated with this NPI, valid through December 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Stockton Regional Rehabilitation Hospital LLC a Medicare-certified inpatient rehabilitation facility?

Yes. Stockton Regional Rehabilitation Hospital is a Medicare-certified inpatient rehabilitation facility (CMS certification number 053047), certified since July 14, 2023.

When was this NPI record last updated?

The NPPES record for Stockton Regional Rehabilitation Hospital LLC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.