Center for Sight of Stockton a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION

Doing business as

Philip Edington, MD

Practice address

1144 Norman Dr
Suite 102
Manteca, CA 95336-5925

Phone

(209) 823-1152

Fax

(209) 823-3376

NPI assigned

Jul 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Philip A Edington, MDNPI 1508837279

Title

Director

Phone

(209) 948-5515

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PHILIP EDINGTON, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Center for Sight of Stockton a Medical Corporation

  • Specialist
  • Tracy, CA
  • NPI 1114941796

  O20050714000703

  Same enrollment
• Center for Sight of Stockton a Medical Corporation

  • Specialist
  • Stockton, CA
  • NPI 1326062084

  O20050714000703

  Same enrollment
• Center for Sight of Stockton a Medical Corporation

  • Specialist
  • Modesto, CA
  • NPI 1962426643

  O20050714000703

  Same enrollment

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip A Edington, M.D.

  • Specialist
  • Stockton, CA
  • NPI 1508837279
  Authorized official Same address or phone
• Charles Kim, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Stockton, CA
  • NPI 1104242924

  Ophthalmology

  NPD
• Daniel Wee, M.D.

  • Ophthalmology Physician
  • Stockton, CA
  • NPI 1740480441
  NPD
• Allan Henry Violini, O.D.

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1952453110
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1013931781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 W. MARCH LANE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076402",
            "telephone_number": "209-623-4700",
            "fax_number": "209-623-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR",
            "address_2": "SUITE 102",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365925",
            "telephone_number": "209-823-1152",
            "fax_number": "209-823-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "EDINGTON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-948-5515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "ZZZ70177Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILIP EDINGTON, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael S Castillo, P.T.
• Carmen Maria Castro
• Mariah J Castro, AMFT, APCC
• Chanai Catarich, CD,PCD
• Geraldine Cruz Ceballos, MS
• Center St LLC
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• Central Valley Eye Medical Group Inc.
• Central Valley Imaging Medical Assoc, Inc
• Central Valley Imaging Medical Associates Inc

• Specialist in Manteca, CA
• Providers in Manteca, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.