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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: August 02, 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
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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

Other Providers at the Same Location NPPES

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

LAN NGOC QUANG M.D.
Internal Medicine
1525 N EL DORADO ST, SUITE 1
STOCKTON, CA 95204
San Joaquin County (209) 465-5107

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.

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.