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DIGNITY HEALTH MEDICAL GROUP - STOCKTON, A SERVICE OF DIGNITY HEALTH M
NPI 1518190958
Clinic/Center - Multi-Specialty in Stockton, CA

Active since September 02, 2009CLIA Certified · 5 labs
1901 N CALIFORNIA ST, STOCKTON, CA 95204(209) 948-0579(209) 948-3125 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dignity Health Medical Group - Stockton, A Service Of Dignity Health M NPPES

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

DIGNITY HEALTH MEDICAL GROUP - STOCKTON, A SERVICE OF DIGNITY HEALTH M (NPI 1518190958) is a healthcare organization registered as a multi-specialty in Stockton, California and active in the NPI registry since September 2009. The organization holds 5 active CLIA laboratory certificates and lists Theresa M Hylen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1518190958
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDIGNITY HEALTH MEDICAL FOUNDATION
Location Address1901 N CALIFORNIA STStockton, CA 95204-6005
Mailing Address3000 Q StSacramento, CA 95816-7058 · (916) 733-5701 · Fax (916) 859-1671
Phone(209) 948-0579
Fax(209) 948-3125
Organization SubpartYes
Authorized OfficialTheresa M HylenChief Financial Officer · (916) 851-2559
Enumeration DateSeptember 2, 2009
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1518190958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1901 N CALIFORNIA ST, Stockton, CA 95204
Open in Google Maps ↗

Other Names 1

Doing Business AsDignity Health Medical Group - Stockton, A Service Of Dignity Health M

CLIA Laboratory Certificates CMS CLIA 5

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) 05D2008727

Dignity Health Medical Foundation · Stockton, CA
Active · expires Jun 15, 2028
CLIA Number05D2008727
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorMohammad M. Jamil
Laboratory Phone(916) 851-2462
Laboratory LocationDignity Health Medical Foundation1901 N California St, Stockton, CA 95204
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0911593

Dignity Health Medical Foundation · Sacramento, CA
Active · expires Feb 8, 2028
CLIA Number05D0911593
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorRobert D. Bellinoff
Laboratory Phone(916) 379-2861
Laboratory LocationDignity Health Medical Foundation3000 Q Street, Floors 1-6, Sacramento, CA 95816
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.

Certificate of Waiver 05D2036272

Dignity Health Medical Foundation · Sacramento, CA
Active · expires Feb 5, 2028
CLIA Number05D2036272
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorShahzad A. Siddique
Laboratory Phone(916) 379-2861
Laboratory LocationDignity Health Medical Foundation3301 C St, Ste 550, Sacramento, CA 95816
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2035390

Dignity Health Medical Foundation · Sacramento, CA
Active · expires Jan 16, 2028
CLIA Number05D2035390
Laboratory TypeOutpatient Radiology
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorGregory Rogalski
Laboratory Phone(916) 556-3300
Laboratory LocationDignity Health Medical Foundation3301 C St Ste 500, Sacramento, CA 95816
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1091964

Dignity Health Medical Foundation · Stockton, CA
Active · expires Jul 23, 2027
CLIA Number05D1091964
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorDr. Tarandeep Kaur
Laboratory Phone(916) 851-2462
Laboratory LocationDignity Health Medical Foundation782 E Harding Way, Stockton, CA 95204
CLIA data matches this NPI record on: 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 13

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

MARANDA PAHLKOTTER MD
Surgery (Surgical Oncology)
1901 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 946-6800
DR. GAURAVJIT SINGH MD
Radiology (Radiation Oncology)
1901 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 946-6800
CENTRAL VALLEY ORTHOPAEDIC SPECIALISTS MEDICAL GROUP, INC
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1901 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 948-1641
STOCKTON ORTHOPEDIC MEDICAL GROUP, INC.
Orthopaedic Surgery
1901 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 948-1641
MR. REYMUNDO BAROCIO PA-C
Physician Assistant (Surgical)
1901 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 946-6800
JENNIFER JEANNE MCNEIL M.D.
Colon & Rectal Surgery
1901 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 946-6800
JASPREET SIDHU DO
Orthopaedic Surgery
1901 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 946-6800
DR. PETER ALLAN TUXEN MD
Surgery
1901 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 946-6800

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 Dignity Health Medical Foundation's NPI number?

The NPI number for Dignity Health Medical Foundation is 1518190958. It was assigned to this organization in the NPPES registry on September 2, 2009. The provider is doing business as Dignity Health Medical Group - Stockton, A Service Of Dignity Health M.

Where is Dignity Health Medical Foundation located?

Dignity Health Medical Foundation is located at 1901 N California St, Stockton, CA 95204. The listed phone number is (209) 948-0579.

What is Dignity Health Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Dignity Health Medical Foundation hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dignity Health Medical Foundation was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.