Dameron Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DAMERON MEDICAL GROUP, INC.

Practice address

530 W Acacia St
Stockton, CA 95203-2454

Phone

(209) 461-3196

Fax

(209) 461-7593

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Lorraine P. Auerbach

Title

Secretary

Phone

(209) 461-3100

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8236/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1033544325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST",
            "address_2": "SUITE 13",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-461-3196",
            "fax_number": "209-461-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W ACACIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032454",
            "telephone_number": "209-461-3196",
            "fax_number": "209-461-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMERON MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "AUERBACH",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "209-461-3100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dameron Hospital Association (Damerons Linacia Pharmacy)
• Dameron Hospital Association
• Dameron Hospital Association
• Dameron Hospital Home Health
• Dameron Hospital Home Health
• Dameron Occupational Health Services
• Rosanne Damico, R.E.
• Ann Dang
• Linh N Dang, PHARM D
• Daniel & Max, LLC (Stanton Optical)

• Family Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.