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STOCKTON NEPHROLOGY, INC.
NPI 1790110880
Internal Medicine - Nephrology in Stockton, CA

Active since September 07, 2013
1525 N EL DORADO ST, SUITE 1, STOCKTON, CA 95204(209) 465-5107(209) 465-7653 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stockton Nephrology, Inc. NPPES

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

STOCKTON NEPHROLOGY, INC. (NPI 1790110880) is a healthcare organization registered as a nephrology in Stockton, California and active in the NPI registry since September 2013. The organization lists Lan Ngoc Quang, President, as its authorized official.

NPPES Registry Identity

NPI1790110880
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSTOCKTON NEPHROLOGY, INC.
Location Address1525 N EL DORADO ST, SUITE 1Stockton, CA 95204-5932
Mailing Address1525 N El Dorado St, Suite 1Stockton, CA 95204-5932 · (209) 465-5107 · Fax (209) 465-7653
Phone(209) 465-5107
Fax(209) 465-7653
Organization SubpartNo
Authorized OfficialLan Ngoc QuangPresident · (415) 283-5772
Enumeration DateSeptember 7, 2013
Last NPPES UpdateFebruary 3, 2017
✔ NPI 1790110880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A111373
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1525 N EL DORADO ST, Stockton, CA 95204
Open in Google Maps ↗

Other Identifiers 1

Medicare PINGH762ACA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stockton Nephrology, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stockton Nephrology, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Lan Quang, M.D.
Nephrology
NPI 1437354347
1525 N EL DORADO ST SUITE 1
Stockton, CA 95204
(209) 465-5107
✔ PECOS✔ Accepts Medicare2.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stockton Nephrology, Inc.'s NPI number?

The NPI number for Stockton Nephrology, Inc. is 1790110880. It was assigned to this organization in the NPPES registry on September 7, 2013.

Where is Stockton Nephrology, Inc. located?

Stockton Nephrology, Inc. is located at 1525 N El Dorado St Suite 1, Stockton, CA 95204. The listed phone number is (209) 465-5107.

What is Stockton Nephrology, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Stockton Nephrology, Inc. enrolled in Medicare?

Yes. Stockton Nephrology, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stockton Nephrology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Stockton Nephrology, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stockton Nephrology, Inc. was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.