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PEDIATRIC CARE OF STOCKTON
NPI 1790844769
Pediatrics in Stockton, CA

Active since December 06, 2006CLIA 05D0695912 · Waiver
2800 N CALIFORNIA STREET, SUITE 14, STOCKTON, CA 95204(209) 464-2605(209) 464-2711 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2023, Jan 17, 2023, Apr 10, 2018 (3 updates tracked since 2018).

About Pediatric Care Of Stockton NPPES

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

PEDIATRIC CARE OF STOCKTON (NPI 1790844769) is a healthcare organization registered as a pediatrics in Stockton, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Suresh K Sachdeva, President, as its authorized official.

NPPES Registry Identity

NPI1790844769
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC CARE OF STOCKTON
Location Address2800 N CALIFORNIA STREET, SUITE 14Stockton, CA 95204-3759
Mailing Address2800 N California Street, Suite 14Stockton, CA 95204-3759 · (209) 464-2605 · Fax (209) 464-2711
Phone(209) 464-2605
Fax(209) 464-2711
Organization SubpartNo
Authorized OfficialSuresh K SachdevaPresident · (209) 464-2695
Enumeration DateDecember 6, 2006
Last NPPES UpdateFebruary 23, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1790844769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A64522
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2800 N CALIFORNIA STREET, Stockton, CA 95204
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Other Names 1

Doing Business AsPediatric Care Of Stockton

Other Identifiers 2

OtherA64522CA · Medical License Number
Medicaid00A645220CA

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 05D0695912

Pediatric Care Of Stockton · Stockton, CA
Active · expires Dec 9, 2026
CLIA Number05D0695912
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorSuresh K. Sachdeva
Laboratory Phone(209) 464-2605
Laboratory LocationPediatric Care Of Stockton2800 N. California St, Suite 14, Stockton, CA 95204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pediatric Care Of Stockton's NPI number?

The NPI number for Pediatric Care Of Stockton is 1790844769. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Pediatric Care Of Stockton located?

Pediatric Care Of Stockton is located at 2800 N California Street Suite 14, Stockton, CA 95204. The listed phone number is (209) 464-2605.

What is Pediatric Care Of Stockton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Care Of Stockton hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0695912) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Care Of Stockton was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.