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BROOKSIDE CARE CENTER
NPI 1891741963
Internal Medicine in Stockton, CA

Active since May 26, 2006CLIA 05D0609050 · Waiver
3132 W MARCH LN, STOCKTON, CA 95219(209) 954-3370 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookside Care Center NPPES

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

BROOKSIDE CARE CENTER (NPI 1891741963) is a healthcare organization registered as an internal medicine in Stockton, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Steven A Mitnick, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1891741963
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUTTER GOULD MEDICAL FOUNDATION
Location Address3132 W MARCH LNStockton, CA 95219-2354
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 524-1211
Phone(209) 954-3370
Organization SubpartNo
Authorized OfficialSteven A MitnickMedical Director · (209) 521-6097
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891741963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
3132 W MARCH LN, Stockton, CA 95219
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Other Names 1

Doing Business AsBrookside Care Center

Other Identifiers 1

MedicaidGR0005874CA

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 MULTIPLE 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 05D0609050

Sutter Gould Medical Foundation Smp I Internal Medicine · Stockton, CA
Active · expires Mar 22, 2028
CLIA Number05D0609050
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorPeter Drummond
Laboratory Phone(209) 954-3370
Laboratory LocationSutter Gould Medical Foundation Smp I Internal MedicineAttn Internal Medicine, 2nd Fl 2505 West Hammer Lane, Stockton, CA 95209
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

DR. NICOLE VERLEAN KNOTTS M.D.
Family Medicine
3132 W MARCH LN, SUITE 5
STOCKTON, CA 95219
San Joaquin County (209) 475-5500
CHELSEA SIDHU NP-C
Nurse Practitioner (Critical Care Medicine)
3132 W MARCH LN
STOCKTON, CA 95219
San Joaquin County (209) 475-5500
THUY TUONG NGUYEN M.D.
Hospitalist
3132 W MARCH LN, SUITE 5
STOCKTON, CA 95219
San Joaquin County (209) 475-5500
SURINDER S RARON MD
Pediatrics
3132 W MARCH LN, STE. 5
STOCKTON, CA 95219
San Joaquin County (209) 475-5500
ANITA DOROTHY HEART MD
Family Medicine
3132 W MARCH LN, SUITE 5
STOCKTON, CA 95219
San Joaquin County (209) 475-5500
DIGNITY HEALTH MEDICAL FOUNDATION
Clinic/Center (Multi-Specialty)
3132 W MARCH LN, SUITE 5
STOCKTON, CA 95219
San Joaquin County (209) 475-5500
JENNIFER NERVES RIVERA M.D.
Family Medicine
3132 W MARCH LN, STE. 5
STOCKTON, CA 95219
San Joaquin County (209) 475-5500
KRISTIN M BENNETT MD INC
Otolaryngology
3132 W MARCH LN, 2
STOCKTON, CA 95219
San Joaquin County (209) 952-0483

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 Sutter Gould Medical Foundation's NPI number?

The NPI number for Sutter Gould Medical Foundation is 1891741963. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Brookside Care Center.

Where is Sutter Gould Medical Foundation located?

Sutter Gould Medical Foundation is located at 3132 W March Ln, Stockton, CA 95219. The listed phone number is (209) 954-3370.

What is Sutter Gould Medical Foundation's specialty?

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

Does Sutter Gould Medical Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0609050) is associated with this NPI, valid through March 22, 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 Sutter Gould Medical Foundation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.