ST. JOSEPH'S SURGERY CENTER LP
NPI 1619974219
Clinic/Center - Ambulatory Surgical in Stockton, CA

Q: What is St. Joseph's Surgery Center LP's NPI number?

The NPI number for St. Joseph's Surgery Center LP is 1619974219. It was assigned to this organization in the NPPES registry on June 28, 2005.

Q: What is St. Joseph's Surgery Center LP's specialty?

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

Active since June 28, 2005CLIA 05D1034458 · Waiver

1800 N CALIFORNIA ST, STE 1, STOCKTON, CA 95204(209) 467-6316(209) 461-6895 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Mar 5, 2018 (2 updates tracked since 2018).

On this page

About St. Joseph's Surgery Center Lp NPPES

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

ST. JOSEPH'S SURGERY CENTER LP (NPI 1619974219) is a healthcare organization registered as an ambulatory surgical in Stockton, California and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Eric Boon, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1619974219

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameST. JOSEPH'S SURGERY CENTER LP

Location Address1800 N CALIFORNIA ST, STE 1Stockton, CA 95204-6019

Mailing Address1800 N California St, Ste 1Stockton, CA 95204-6019 · (209) 467-6316 · Fax (209) 461-6895

Phone(209) 467-6316

Fax(209) 461-6895

Organization SubpartNo

Authorized OfficialEric BoonAuthorized Official · (480) 567-0269

Enumeration DateJune 28, 2005

Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration

NPPES CertifiedOctober 23, 2024

✔ NPI 1619974219 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 · EXEMPT FROM LICENSUR

1800 N CALIFORNIA ST, Stockton, CA 95204

Open in Google Maps ↗

Other Identifiers 3

OtherP00215810CA · Medicare Railroad Carrier

Medicaid05-C0001711CA

OtherCA0300001807CA · Misc

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 05D1034458

St Josephs Surgery Center · Stockton, CA

Active · expires Dec 2, 2026

CLIA Number05D1034458

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateDecember 3, 2024

Certificate Expiration DateDecember 2, 2026

Laboratory DirectorJeffrey Mcdavit

Laboratory Phone(209) 467-6316

Laboratory LocationSt Josephs Surgery Center1800 N California St Ste 1, Stockton, CA 95204

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

184 services183 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

167 services165 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

116 services116 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

79 services79 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

48 services47 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

36 services36 patients

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.

MONICA CHAPPIDI DO

Student in an Organized Health Care Education/Training Program