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WESTLANE MEDICAL CLINIC,INC
NPI 1689729352
Family Medicine in Stockton, CA

Active since January 24, 2007CLIA 05D0608985 · Waiver
4873 WEST LN, SUITE A, STOCKTON, CA 95210(209) 472-1515(209) 472-1651 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Westlane Medical Clinic,inc NPPES

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

WESTLANE MEDICAL CLINIC,INC (NPI 1689729352) is a healthcare organization registered as a family medicine in Stockton, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Gabriel Kodzo Tanson, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1689729352
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWESTLANE MEDICAL CLINIC,INC
Location Address4873 WEST LN, SUITE AStockton, CA 95210-4548
Mailing Address4873 West Ln, Suite AStockton, CA 95210-4548 · (209) 472-1515 · Fax (209) 472-1651
Phone(209) 472-1515
Fax(209) 472-1651
Organization SubpartNo
Authorized OfficialGabriel Kodzo TansonMedical Director · (209) 472-1515
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1689729352 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 · A325500
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.
4873 WEST LN, Stockton, CA 95210
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Other Identifiers 1

Medicaid00A325500CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D0608985

Westlane Medical Clinic Lab · Stockton, CA
Active · expires Aug 14, 2027
CLIA Number05D0608985
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorGabriel K. Tanson MD
Laboratory Phone(209) 472-1515
Laboratory LocationWestlane Medical Clinic Lab4873 West Ln, Ste A, Stockton, CA 95210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. GABRIEL KODZO TANSON M.D.,
Family Medicine
4873 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 472-1515
HIKMAT T FIKRAT
Pharmacy (Community/Retail Pharmacy)
4873 WEST LN, STE B
STOCKTON, CA 95210
San Joaquin County (209) 478-2528
SIERRA-PACIFIC TECHNOLOGY, INC.
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
4873 WEST LN, SUITE C
STOCKTON, CA 95210
San Joaquin County (209) 472-1136
VALLEYTECH, INC.
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
4873 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 472-1136

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 Westlane Medical Clinic,inc's NPI number?

The NPI number for Westlane Medical Clinic,inc is 1689729352. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Westlane Medical Clinic,inc located?

Westlane Medical Clinic,inc is located at 4873 West Ln Suite A, Stockton, CA 95210. The listed phone number is (209) 472-1515.

What is Westlane Medical Clinic,inc's specialty?

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

Does Westlane Medical Clinic,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0608985) is associated with this NPI, valid through August 14, 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 Westlane Medical Clinic,inc was last updated on March 3, 2021. 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.