ANGELINA KAISARIEH MD
NPI 1477562486
Family Medicine in Stockton, CA

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
123 S COMMERCE ST, SUITE D, STOCKTON, CA 95202(209) 467-6825(209) 467-6827 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2022, Mar 3, 2017 (2 updates tracked since 2017).

About Angelina Kaisarieh Md NPPES

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

ANGELINA KAISARIEH MD (NPI 1477562486) is an individual family medicine provider in Stockton, California, licensed in California (A78601) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1477562486
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANGELINA KAISARIEHCredential: MD
Location Address123 S COMMERCE ST, SUITE DStockton, CA 95202-2837
Mailing AddressPo Box 1434Lodi, CA 95241-1434 · (209) 462-7277 · Fax (866) 950-0134
Fax(209) 467-6827
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 7, 2006
Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
NPI 1477562486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A78601
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
123 S COMMERCE ST, Stockton, CA 95202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angelina Kaisarieh Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052305802
PECOS Enrollment IDI20191212001888
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

Dentist
123 S COMMERCE ST, STE. C
STOCKTON, CA 95202
Pharmacist
123 S COMMERCE ST, SUITE A
STOCKTON, CA 95202
Surgery
123 S COMMERCE ST, SUITE F
STOCKTON, CA 95202
Dentist
123 S COMMERCE ST, STE. C
STOCKTON, CA 95202
Clinic/Center (Medical Specialty)
123 S COMMERCE ST, SUITE D
STOCKTON, CA 95202
Pharmacy (Community/Retail Pharmacy)
123 S COMMERCE ST, STE A
STOCKTON, CA 95202
Dentist
123 S COMMERCE ST, SUITE. C
STOCKTON, CA 95202
Dentist (General Practice)
123 S COMMERCE ST, STE. C
STOCKTON, CA 95202

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 Angelina Kaisarieh's NPI number?

The NPI number for Angelina Kaisarieh is 1477562486. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Angelina Kaisarieh located?

Angelina Kaisarieh practices at 123 S Commerce St Suite D, Stockton, CA 95202. The listed phone number is (209) 467-6825.

What is Angelina Kaisarieh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Angelina Kaisarieh enrolled in Medicare?

Yes. Angelina Kaisarieh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angelina Kaisarieh was last updated on February 16, 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.