PEDIATRIC ASSOCIATES OF STOCKTON
NPI 1851384911
Pediatrics in Stockton, CA

Active since August 24, 2005CLIA 05D0609258 · Waiver
89 W MARCH LN, SUITE #1, STOCKTON, CA 95207(209) 478-2622(209) 870-2754 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Associates Of Stockton NPPES

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

PEDIATRIC ASSOCIATES OF STOCKTON (NPI 1851384911) is a healthcare organization registered as a pediatrics in Stockton, California and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Sue Zumwalt, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1851384911
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF STOCKTON
Location Address89 W MARCH LN, SUITE #1Stockton, CA 95207-5723
Mailing Address89 W March Ln, Suite #1Stockton, CA 95207-5723 · (209) 478-2622 · Fax (209) 870-2754
Fax(209) 870-2754
Organization SubpartNo
Authorized OfficialSue ZumwaltOffice Administrator · (209) 870-2724
Enumeration DateAugust 24, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1851384911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.

89 W MARCH LN, Stockton, CA 95207

Other Identifiers 1

OtherZZZ557612CA · Blue Cross

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 05D0609258

Pediatric Associates Of Stockton · Stockton, CA
Active · expires Jul 11, 2027
CLIA Number05D0609258
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorCarol T. Cahill MD
Laboratory Phone(209) 478-2622
Laboratory LocationPediatric Associates Of Stockton89 W March Lane Ste 1, Stockton, CA 95207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Pediatrics
89 W MARCH LN, STE 1
STOCKTON, CA 95207
Pharmacist
89 W MARCH LN, STE. 2
STOCKTON, CA 95207
Nurse Practitioner (Pediatrics)
89 W MARCH LN, SUITE #1
STOCKTON, CA 95207
Nurse Practitioner (Pediatrics)
89 W MARCH LN, STE #1
STOCKTON, CA 95207
Nurse Practitioner (Family)
89 W MARCH LN, SUITE #1
STOCKTON, CA 95207
Pharmacy (Community/Retail Pharmacy)
89 W MARCH LN, STE 2
STOCKTON, CA 95207
Pediatrics
89 W MARCH LN, STE 1
STOCKTON, CA 95207
Pediatrics
89 W MARCH LN, STE 1
STOCKTON, CA 95207

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 Associates Of Stockton's NPI number?

The NPI number for Pediatric Associates Of Stockton is 1851384911. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Pediatric Associates Of Stockton located?

Pediatric Associates Of Stockton is located at 89 W March Ln Suite #1, Stockton, CA 95207. The listed phone number is (209) 478-2622.

What is Pediatric Associates Of Stockton's specialty?

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

Does Pediatric Associates Of Stockton hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0609258) is associated with this NPI, valid through July 11, 2027. 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 Associates Of Stockton was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.