CMC
NPI 1699131110
Physician Assistant - Medical in Stockton, CA

Q: What is Cmc's NPI number?

The NPI number for Cmc is 1699131110. It was assigned to this organization in the NPPES registry on January 13, 2016.

Q: What is Cmc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Cmc was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 13, 2016

1801 E MARCH LN STE D470, STOCKTON, CA 95210(209) 507-7000(209) 507-7550 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Cmc NPPES

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

CMC (NPI 1699131110) is a healthcare organization registered as a medical in Stockton, California and active in the NPI registry since January 2016. The organization lists Jackson David Fraser, Pa-c, as its authorized official.

NPPES Registry Identity

NPI1699131110

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameCMC

Location Address1801 E MARCH LN STE D470Stockton, CA 95210-6677

Mailing Address1801 E March Ln Ste D470Stockton, CA 95210-6677 · (209) 507-7000 · Fax (209) 507-7550

Phone(209) 507-7000

Fax(209) 507-7550

Organization SubpartNo

Authorized OfficialJackson David FraserPa-c · (209) 507-7000

Enumeration DateJanuary 13, 2016

✔ NPI 1699131110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA22498

1801 E MARCH LN STE D470, Stockton, CA 95210

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

YUKO MOTOOKA-HALSETH FNP

Nurse Practitioner (Family)

1801 E MARCH LN STE D470
STOCKTON, CA 95210

San Joaquin County (209) 507-7027

RAJASHEKAR REDDY YERUVA MD

Family Medicine

1801 E MARCH LN STE D470
STOCKTON, CA 95210

San Joaquin County (209) 507-7049

COMMUNITY MEDICAL CENTERS INC

Clinic/Center (Federally Qualified Health Center (FQHC))

1801 E MARCH LN STE D470
STOCKTON, CA 95210

San Joaquin County (209) 373-2800

DR. ANIL ANDANI MD

Family Medicine

1801 E MARCH LN STE D470
STOCKTON, CA 95210

San Joaquin County (209) 507-7027

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 Cmc's NPI number?

The NPI number for Cmc is 1699131110. It was assigned to this organization in the NPPES registry on January 13, 2016.

Where is Cmc located?

Cmc is located at 1801 E March Ln Ste D470, Stockton, CA 95210. The listed phone number is (209) 507-7000.

What is Cmc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Cmc was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.