Active NPI
Jill E. Stocker, D.O. PC
- Family Medicine Physician
- Yuba City, CA
National Provider Identifier
1043408693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A8928
- Legal business name
- JILL E. STOCKER, D.O. PC
- Practice address
- 1166 Live Oak Blvd
Yuba City, CA 95991-3407 - Phone
- (530) 751-1500
- Fax
- (530) 751-1616
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jill E. Stocker, D.O.
- Title
- Director
- Phone
- (530) 755-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A8928 | CA | Primary |
Addresses
Primary practice location
1166 Live Oak Blvd
Yuba City, CA 95991-3407
Mailing address
1166 Live Oak Blvd
Yuba City, CA 95991-3407
Phone (530) 751-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0460436 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1166 Live Oak Blvd
Yuba City, CA 95991
Phone (530) 751-1500
874 Plumas St
Ste 200
Yuba City, CA 95991
Phone (530) 671-2250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243900800000",
"number": "1043408693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959913407",
"telephone_number": "530-751-1500",
"fax_number": "530-751-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959913407",
"telephone_number": "530-751-1500",
"fax_number": "530-751-1616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JILL E. STOCKER, D.O. PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2009-06-02",
"status": "A",
"authorized_official_last_name": "STOCKER",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "530-755-1500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "20A8928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0460436",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.