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ROC MEDICAL
NPI 1891209359
Internal Medicine in Stockton, CA

Active since November 20, 2017CLIA 05D2152811 · Waiver
1805 N CALIFORNIA ST STE 406, STOCKTON, CA 95204(209) 227-7806(209) 851-3853 Get Directions Write a Review

NPPES record last updated: October 28, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 28, 2018, Nov 20, 2017 (2 updates tracked since 2017).

About Roc Medical NPPES

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

ROC MEDICAL (NPI 1891209359) is a healthcare organization registered as an internal medicine in Stockton, California and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through August 16, 2028 and lists Richard O Camacho, Owner, as its authorized official.

NPPES Registry Identity

NPI1891209359
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameROC MEDICAL
Location Address1805 N CALIFORNIA ST STE 406Stockton, CA 95204-6033
Mailing Address1805 N California St Ste 406Stockton, CA 95204-6033 · (209) 227-7806 · Fax (209) 851-3853
Phone(209) 227-7806
Fax(209) 851-3853
Organization SubpartNo
Authorized OfficialRichard O CamachoOwner · (209) 227-7806
Enumeration DateNovember 20, 2017
Last NPPES UpdateOctober 28, 20182 updates tracked since enumeration
✔ NPI 1891209359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A93056
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License A93056 (CA)
1805 N CALIFORNIA ST STE 406, Stockton, CA 95204
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roc Medical 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 Roc Medical, which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard Camacho, MD
Internal Medicine
NPI 1649253881
1805 N CALIFORNIA ST STE 406
Stockton, CA 95204
(209) 227-7806
✔ PECOS✔ Accepts MedicareSame address

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

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 05D2152811

Roc Medical · Stockton, CA
Active · expires Aug 16, 2028
CLIA Number05D2152811
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorRichard O. Camacho MD
Laboratory Phone(209) 227-7806
Laboratory LocationRoc Medical1805 N California Street Suite 406, 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 Roc Medical's NPI number?

The NPI number for Roc Medical is 1891209359. It was assigned to this organization in the NPPES registry on November 20, 2017.

Where is Roc Medical located?

Roc Medical is located at 1805 N California St Ste 406, Stockton, CA 95204. The listed phone number is (209) 227-7806.

What is Roc Medical's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roc Medical enrolled in Medicare?

Yes. Roc Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roc Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Roc Medical. 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.

Does Roc Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2152811) is associated with this NPI, valid through August 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roc Medical was last updated on October 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.