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SAN JOAQUIN LASER SURGERY CENTER
NPI 1639183486
Clinic/Center - Ambulatory Surgical in Stockton, CA

Active since July 28, 2006CLIA 05D0936965 · Waiver
1805 N CALIFORNIA ST, SUITE 101 A, STOCKTON, CA 95204(209) 948-3241(209) 948-9321 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Joaquin Laser Surgery Center NPPES

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

SAN JOAQUIN LASER SURGERY CENTER (NPI 1639183486) is a healthcare organization registered as an ambulatory surgical in Stockton, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Philip A Edington, Director, as its authorized official.

NPPES Registry Identity

NPI1639183486
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAN JOAQUIN LASER SURGERY CENTER
Location Address1805 N CALIFORNIA ST, SUITE 101 AStockton, CA 95204-6037
Mailing Address1805 N California St, Suite 101 AStockton, CA 95204-6037 · (209) 948-3241 · Fax (209) 948-9321
Phone(209) 948-3241
Fax(209) 948-9321
Organization SubpartNo
Authorized OfficialPhilip A EdingtonDirector · (209) 948-5515
Enumeration DateJuly 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639183486 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 · 30000469
1805 N CALIFORNIA ST, Stockton, CA 95204
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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 05D0936965

San Joaquin Laser And Surgery Center · Stockton, CA
Active · expires Dec 3, 2027
CLIA Number05D0936965
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorJulio Narvaez
Laboratory Phone(209) 948-3241
Laboratory LocationSan Joaquin Laser And Surgery Center1805 N California St, Ste 101A, Stockton, CA 95204
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 20

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

MRS. PARAMJIT KAUR GILL M.D.
Psychiatry & Neurology (Psychiatry)
1805 N CALIFORNIA ST, SUITE 202
STOCKTON, CA 95204
San Joaquin County (209) 467-1500
RANDEEP SINGH BAJWA MD
Internal Medicine (Nephrology)
1805 N CALIFORNIA ST, STE 303
STOCKTON, CA 95204
San Joaquin County (209) 888-4340
MARJORIE M DANIS CRNA
Nurse Anesthetist, Certified Registered
1805 N CALIFORNIA ST, SUITE 101A
STOCKTON, CA 95204
San Joaquin County (209) 948-5515
MR. AKIRA TOYAMA CRNA
Nurse Anesthetist, Certified Registered
1805 N CALIFORNIA ST, SUITE 101A
STOCKTON, CA 95204
San Joaquin County (209) 948-5515
VINOD C BHAN
Nurse Anesthetist, Certified Registered
1805 N CALIFORNIA ST, SUITE 101
STOCKTON, CA 95204
San Joaquin County (209) 956-7725
DR. JOSEPH R BURLIN MD
Plastic Surgery
1805 N CALIFORNIA ST, SUITE 405
STOCKTON, CA 95204
San Joaquin County (209) 870-7100
SLEEP DISORDERS MANAGEMENT MEDICAL GROUP INC
Internal Medicine (Pulmonary Disease)
1805 N CALIFORNIA ST, SUITE 206
STOCKTON, CA 95204
San Joaquin County (209) 466-8011
SAVAGE PREMIER MEDICAL GROUP INC
Obstetrics & Gynecology
1805 N CALIFORNIA ST, SUITE 202
STOCKTON, CA 95204
San Joaquin County (209) 451-1421

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 San Joaquin Laser Surgery Center's NPI number?

The NPI number for San Joaquin Laser Surgery Center is 1639183486. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is San Joaquin Laser Surgery Center located?

San Joaquin Laser Surgery Center is located at 1805 N California St Suite 101 A, Stockton, CA 95204. The listed phone number is (209) 948-3241.

What is San Joaquin Laser Surgery Center's specialty?

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

Does San Joaquin Laser Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0936965) is associated with this NPI, valid through December 3, 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 San Joaquin Laser Surgery Center was last updated on August 22, 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.