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CENTRAL STOCKTON MEDICAL CLINIC
NPI 1932148343
Family Medicine in Stockton, CA

Active since June 05, 2006
1508 WEST LN, STOCKTON, CA 95205(209) 948-2886(209) 948-2831 Get Directions Write a Review

NPPES record last updated: January 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Stockton Medical Clinic NPPES

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

CENTRAL STOCKTON MEDICAL CLINIC (NPI 1932148343) is a healthcare organization registered as a family medicine in Stockton, California and active in the NPI registry since June 2006. The organization lists Philip A Edington, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1932148343
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRAL STOCKTON MEDICAL CLINIC
Location Address1508 WEST LNStockton, CA 95205-3340
Mailing Address1144 Norman Dr, Suite 102Manteca, CA 95336-5925 · (209) 823-1152 · Fax (209) 823-3376
Phone(209) 948-2886
Fax(209) 948-2831
Organization SubpartNo
Authorized OfficialPhilip A EdingtonDirector/owner · (209) 948-5515
Enumeration DateJune 5, 2006
Last NPPES UpdateJanuary 4, 2008
✔ NPI 1932148343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1508 WEST LN, Stockton, CA 95205
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Other Identifiers 2

OtherZZZ25352ZCA · Group Ptan
Medicare PINZZZ25352ZCA

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

Other Providers at the Same Location NPPES 2

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

DR. GARY F MALET D.O.
Family Medicine
1508 WEST LN
STOCKTON, CA 95205
San Joaquin County (209) 948-2886
MRS. MARYA W OAKES FNP
Nurse Practitioner (Primary Care)
1508 WEST LN
STOCKTON, CA 95205
San Joaquin County (209) 948-2886

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 Central Stockton Medical Clinic's NPI number?

The NPI number for Central Stockton Medical Clinic is 1932148343. It was assigned to this organization in the NPPES registry on June 5, 2006.

Where is Central Stockton Medical Clinic located?

Central Stockton Medical Clinic is located at 1508 West Ln, Stockton, CA 95205. The listed phone number is (209) 948-2886.

What is Central Stockton Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Central Stockton Medical Clinic was last updated on January 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.