MEDMARK TREATMENT CENTERS - STOCKTON, INC.
NPI 1851453500
Clinic/Center - Methadone in Stockton, CA

Q: What is Medmark Treatment Centers - Stockton, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Active since December 15, 2006CLIA 05D2029344 · Waiver

1111 N EL DORADO STREET, STOCKTON, CA 95202(209) 938-0228(209) 938-0281 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2024, Feb 21, 2023, Apr 20, 2022 and 2 more (5 updates tracked since 2021).

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About Medmark Treatment Centers - Stockton, Inc. NPPES

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

MEDMARK TREATMENT CENTERS - STOCKTON, INC. (NPI 1851453500) is a healthcare organization registered as a methadone in Stockton, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1851453500

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameMEDMARK TREATMENT CENTERS - STOCKTON, INC.

Location Address1111 N EL DORADO STREETStockton, CA 95202-1305

Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300 · Fax (214) 853-9018

Phone(209) 938-0228

Fax(209) 938-0281

Organization SubpartYesParent: Medmark Services, Inc

Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300

Enumeration DateDecember 15, 2006

Last NPPES UpdateJuly 29, 20245 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1851453500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

License✔ Licensed in CA · 39-07

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

1111 N EL DORADO STREET, Stockton, CA 95202

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Other Identifiers 2

Medicaid48-ACCA

Other48ACCA · Medi-cal

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 05D2029344

Medmark Treatment Centers Stockton Inc - Medmark Treatment Centers Stockton · Stockton, CA

Active · expires Sep 5, 2027

CLIA Number05D2029344

Laboratory TypeNarcotic Treatment Ctr

Certificate Effective DateSeptember 6, 2025

Certificate Expiration DateSeptember 5, 2027

Laboratory DirectorBryan Anker

Laboratory Phone(209) 938-0228

Laboratory LocationMedmark Treatment Centers Stockton Inc - Medmark Treatment Centers Stockton1105-1111 N El Dorado St, Stockton, CA 95202

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

3,306 services103 patients

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

797 services44 patients

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077

Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.

94 services88 patients

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 Medmark Treatment Centers - Stockton, Inc.'s NPI number?

The NPI number for Medmark Treatment Centers - Stockton, Inc. is 1851453500. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Medmark Treatment Centers - Stockton, Inc. located?

Medmark Treatment Centers - Stockton, Inc. is located at 1111 N El Dorado Street, Stockton, CA 95202. The listed phone number is (209) 938-0228.

What is Medmark Treatment Centers - Stockton, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Medmark Treatment Centers - Stockton, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2029344) is associated with this NPI, valid through September 5, 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 Medmark Treatment Centers - Stockton, Inc. was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.