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STOCKTON KIDNEY CLINIC
NPI 1518166594
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Stockton, CA

Active since July 11, 2007CLIA 05D1104152 · Waiver
1523 E MARCH LN, STOCKTON, CA 95210(209) 472-3300(209) 472-0900 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Stockton Kidney Clinic NPPES

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

STOCKTON KIDNEY CLINIC (NPI 1518166594) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Stockton, California and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Joseph Moya, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1518166594
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSTOCKTON KIDNEY CLINIC, LLC
Location Address1523 E MARCH LNStockton, CA 95210
Mailing Address1523 E March LnStockton, CA 95210 · (209) 472-3300 · Fax (209) 472-0900
Phone(209) 472-3300
Fax(209) 472-0900
Organization SubpartNo
Authorized OfficialJoseph MoyaCorporate Secretary · (209) 472-3300
Enumeration DateJuly 11, 2007
✔ NPI 1518166594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in CA · 261QE0700X
1523 E MARCH LN, Stockton, CA 95210
Open in Google Maps ↗

Other Names 1

Doing Business AsStockton Kidney Clinic

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 05D1104152

Stockton Kidney Center · Stockton, CA
Active · expires Aug 25, 2027
CLIA Number05D1104152
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorJerry J. Soung MD
Laboratory Phone(209) 472-3300
Laboratory LocationStockton Kidney Center1523 E March Lane Ste 200, Stockton, CA 95210
CLIA data matches this NPI record on: Address 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.

DR. ALEJANDRO R MARQUEZ D.D.S.
Dentist
1523 E MARCH LN
STOCKTON, CA 95210
San Joaquin County (209) 952-9000
ROOSE DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1523 E MARCH LN, STE 200
STOCKTON, CA 95210
San Joaquin County (209) 472-3300

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 Kidney Clinic, LLC's NPI number?

The NPI number for Stockton Kidney Clinic, LLC is 1518166594. It was assigned to this organization in the NPPES registry on July 11, 2007. The provider is doing business as Stockton Kidney Clinic.

Where is Stockton Kidney Clinic, LLC located?

Stockton Kidney Clinic, LLC is located at 1523 E March Ln, Stockton, CA 95210. The listed phone number is (209) 472-3300.

What is Stockton Kidney Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Stockton Kidney Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1104152) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stockton Kidney Clinic, LLC was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.