PSC STOCKTON OUTPATIENT SURGERY CENTER, LLC
NPI 1417405234
Clinic/Center - Ambulatory Surgical in Stockton, CA

Active since September 21, 2016
1805 N CALIFORNIA ST, SUITE 405, STOCKTON, CA 95204(209) 870-7100(209) 870-7116 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Psc Stockton Outpatient Surgery Center, Llc NPPES

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

PSC STOCKTON OUTPATIENT SURGERY CENTER, LLC (NPI 1417405234) is a healthcare organization registered as an ambulatory surgical in Stockton, California and active in the NPI registry since September 2016. The organization lists Nathan Andrew Kludt, President, as its authorized official.

NPPES Registry Identity

NPI1417405234
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePSC STOCKTON OUTPATIENT SURGERY CENTER, LLC
Location Address1805 N CALIFORNIA ST, SUITE 405Stockton, CA 95204-6037
Mailing Address1805 N California St, Suite 405Stockton, CA 95204-6037 · (209) 870-7100 · Fax (209) 870-7116
Fax(209) 870-7116
Organization SubpartNo
Authorized OfficialNathan Andrew KludtPresident · (209) 870-7100
Enumeration DateSeptember 21, 2016
NPI 1417405234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in CA · A110013
1805 N CALIFORNIA ST, Stockton, CA 95204

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.

Psychiatry & Neurology (Psychiatry)
1805 N CALIFORNIA ST, SUITE 202
STOCKTON, CA 95204
Internal Medicine (Nephrology)
1805 N CALIFORNIA ST, STE 303
STOCKTON, CA 95204
Nurse Anesthetist, Certified Registered
1805 N CALIFORNIA ST, SUITE 101A
STOCKTON, CA 95204
Nurse Anesthetist, Certified Registered
1805 N CALIFORNIA ST, SUITE 101A
STOCKTON, CA 95204
Nurse Anesthetist, Certified Registered
1805 N CALIFORNIA ST, SUITE 101
STOCKTON, CA 95204
Plastic Surgery
1805 N CALIFORNIA ST, SUITE 405
STOCKTON, CA 95204
Internal Medicine (Pulmonary Disease)
1805 N CALIFORNIA ST, SUITE 206
STOCKTON, CA 95204
Obstetrics & Gynecology
1805 N CALIFORNIA ST, SUITE 202
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 Psc Stockton Outpatient Surgery Center, LLC's NPI number?

The NPI number for Psc Stockton Outpatient Surgery Center, LLC is 1417405234. It was assigned to this organization in the NPPES registry on September 21, 2016.

Where is Psc Stockton Outpatient Surgery Center, LLC located?

Psc Stockton Outpatient Surgery Center, LLC is located at 1805 N California St Suite 405, Stockton, CA 95204. The listed phone number is (209) 870-7100.

What is Psc Stockton Outpatient Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Psc Stockton Outpatient Surgery Center, LLC was last updated on September 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.