NATIONAL SURGICAL CENTERS STOCKTON, LLC
NPI 1922625995
Clinic/Center - Ambulatory Surgical in Stockton, CA

Q: What is National Surgical Centers Stockton, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since June 25, 2020CLIA 05D2239821 · Waiver

415 E HARDING WAY STE E, STOCKTON, CA 95204(310) 919-9560 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About National Surgical Centers Stockton, Llc NPPES

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

NATIONAL SURGICAL CENTERS STOCKTON, LLC (NPI 1922625995) is a healthcare organization registered as an ambulatory surgical in Stockton, California and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Diane L Boone, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1922625995

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameNATIONAL SURGICAL CENTERS STOCKTON, LLC

Location Address415 E HARDING WAY STE EStockton, CA 95204-6118

Mailing Address561 Winding Brook Farm RdWatertown, CT 06795-1747 · (310) 919-9560

Phone(310) 919-9560

Organization SubpartNo

Authorized OfficialDiane L BooneChief Nursing Officer · (312) 919-9560

Enumeration DateJune 25, 2020

NPPES CertifiedJune 25, 2020

✔ NPI 1922625995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

415 E HARDING WAY STE E, Stockton, CA 95204

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

National Surgical Centers Stockton, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20200924001447Non-DME Part B · Ambulatory Surgical CenterDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 05D2239821

National Surgical Centers Stockton LLC · Stockton, CA

Active · expires Oct 13, 2027

CLIA Number05D2239821

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 14, 2025

Certificate Expiration DateOctober 13, 2027

Laboratory DirectorEzell Askew

Laboratory Phone(209) 337-4935

Laboratory LocationNational Surgical Centers Stockton LLC415 E Harding Way Suite E, Stockton, CA 95204

CLIA data matches this NPI record on: Address Name

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

Areas of Expertise CMS Part B claims 4

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.

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

47 services20 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

22 services20 patients

Fusion of pelvic joint using imaging guidance 27279

This procedure involves joining or "fusing" the pelvic joint to alleviate pain or stabilize the area. It's performed under imaging guidance, which helps the doctor visualize the area and ensure precise placement of medical tools. This can improve recovery and outcome.

18 services15 patients

Removal and replacement of dual lead permanent pacemaker 33228

This procedure involves removing an old dual lead pacemaker and replacing it with a new one. A pacemaker helps regulate your heart's rhythm. The dual lead model has two wires connecting to your heart to improve its electrical signaling. The replacement is done under local anesthesia.

13 services13 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 National Surgical Centers Stockton, LLC's NPI number?

The NPI number for National Surgical Centers Stockton, LLC is 1922625995. It was assigned to this organization in the NPPES registry on June 25, 2020.

Where is National Surgical Centers Stockton, LLC located?

National Surgical Centers Stockton, LLC is located at 415 E Harding Way Ste E, Stockton, CA 95204. The listed phone number is (310) 919-9560.

What is National Surgical Centers Stockton, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is National Surgical Centers Stockton, LLC enrolled in Medicare?

Yes. National Surgical Centers Stockton, LLC is registered in the Medicare PECOS enrollment system.

When is National Surgical Centers Stockton, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does National Surgical Centers Stockton, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2239821) is associated with this NPI, valid through October 13, 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 National Surgical Centers Stockton, LLC was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.