SAN JOAQUIN LASER AND SURGERY CENTER
NPI 1730112178
Clinic/Center - Ambulatory Surgical in Stockton, CA

Q: What is San Joaquin Laser And Surgery Center's NPI number?

The NPI number for San Joaquin Laser And Surgery Center is 1730112178. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is also known as San Joaquin Laser & Surgery Center.

Q: What is San Joaquin Laser And Surgery Center's specialty?

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

Active since July 09, 2006

1805 N CALIFORNIA ST STE 101A, STOCKTON, CA 95204(209) 948-5515 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About San Joaquin Laser And Surgery Center NPPES

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

SAN JOAQUIN LASER AND SURGERY CENTER (NPI 1730112178) is a healthcare organization registered as an ambulatory surgical in Stockton, California and active in the NPI registry since July 2006. The organization lists Janee Tavares, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1730112178

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSAN JOAQUIN LASER AND SURGERY CENTER

Location Address1805 N CALIFORNIA ST STE 101AStockton, CA 95204-6032

Mailing Address1805 N California St Ste 101aStockton, CA 95204-6032 · (209) 948-3241 · Fax (209) 948-8009

Phone(209) 948-5515

Organization SubpartNo

Authorized OfficialJanee TavaresAdminstrator · (209) 948-3241

Enumeration DateJuly 9, 2006

Last NPPES UpdateFebruary 27, 2025

NPPES CertifiedFebruary 27, 2025

✔ NPI 1730112178 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 · 030000469

1805 N CALIFORNIA ST STE 101A, Stockton, CA 95204

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Other Names 1

Other NameSan Joaquin Laser & Surgery Center

Other Identifiers 1

OtherZZZ17148ZCA · Group Ptan

Areas of Expertise CMS Part B claims 5

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

443 services299 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

51 services26 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

30 services27 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

20 services15 patients

Removal or relocation of corneal conjunctiva with graft 65426

This procedure involves the removal or relocation of the conjunctiva, a thin layer covering the white part of your eye, and replacing it with a graft. This is typically done to treat conditions affecting the eye's surface, improving comfort and vision.

19 services19 patients

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Other Providers at the Same Location NPPES

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

JENNIFER LARAE HEAVENSTON CRNA

Nurse Anesthetist, Certified Registered

1805 N CALIFORNIA ST STE 101A
STOCKTON, CA 95204

San Joaquin County (209) 948-3241

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 And Surgery Center's NPI number?

The NPI number for San Joaquin Laser And Surgery Center is 1730112178. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is also known as San Joaquin Laser & Surgery Center.

Where is San Joaquin Laser And Surgery Center located?

San Joaquin Laser And Surgery Center is located at 1805 N California St Ste 101A, Stockton, CA 95204. The listed phone number is (209) 948-5515.

What is San Joaquin Laser And Surgery Center's specialty?

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

When was this NPI record last updated?

The NPPES record for San Joaquin Laser And Surgery Center was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.