DELTA HEALTH CARE
NPI 1407934458
Clinic/Center in Stockton, CA

Q: What is Delta Health Care And Managment Services Corp.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 01, 2006CLIA 05D0608930 · Microscopy

1425 S CENTER ST, STOCKTON, CA 95206(209) 751-3920(209) 751-3914 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Delta Health Care NPPES

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

DELTA HEALTH CARE (NPI 1407934458) is a healthcare organization registered as a clinic/center in Stockton, California and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through December 20, 2026 and lists Brent Andrew Williams, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1407934458

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameDELTA HEALTH CARE AND MANAGMENT SERVICES CORP.

Location Address1425 S CENTER STStockton, CA 95206-2016

Mailing AddressPo Box 550Stockton, CA 95201-0550 · (209) 751-3920 · Fax (209) 751-3919

Phone(209) 751-3920

Fax(209) 751-3914

Organization SubpartNo

Authorized OfficialBrent Andrew WilliamsExecutive Director · (209) 751-3920

Enumeration DateNovember 1, 2006

Last NPPES UpdateApril 21, 2016

✔ NPI 1407934458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in CA · 030000682

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1425 S CENTER ST, Stockton, CA 95206

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Other Names 1

Other NameDelta Health Care

Other Identifiers 5

MedicaidZZR11503GCA

OtherEAP11503GCA · Eapc

MedicaidCMM70825FCA

MedicaidCMM70817FCA

MedicaidCMM70920FCA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0608930

Delta Health Care & Mgt Services Corp Dba Delta Health Care Stockton Clinic · Stockton, CA

Active · expires Dec 20, 2026

CLIA Number05D0608930

Laboratory TypeCommunity Clinic

Certificate Effective DateDecember 21, 2024

Certificate Expiration DateDecember 20, 2026

Laboratory DirectorMichelle J. Rowe, Do

Laboratory Phone(209) 444-8300

Laboratory LocationDelta Health Care & Mgt Services Corp Dba Delta Health Care Stockton Clinic1425 South Center Street, Stockton, CA 95206

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

COMMUNITY MEDICAL CENTERS INC

Clinic/Center (Federally Qualified Health Center (FQHC))

1425 S CENTER ST
STOCKTON, CA 95206

San Joaquin County (732) 650-5200

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 Delta Health Care And Managment Services Corp.'s NPI number?

The NPI number for Delta Health Care And Managment Services Corp. is 1407934458. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is also known as Delta Health Care.

Where is Delta Health Care And Managment Services Corp. located?

Delta Health Care And Managment Services Corp. is located at 1425 S Center St, Stockton, CA 95206. The listed phone number is (209) 751-3920.

What is Delta Health Care And Managment Services Corp.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Delta Health Care And Managment Services Corp. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0608930) is associated with this NPI, valid through December 20, 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 Delta Health Care And Managment Services Corp. was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.