Organization Active NPI

Jill E. Stocker, D.O. PC

  • Family Medicine Physician
  • Yuba City, CA
National Provider Identifier
1043408693
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8928 Issued in CA
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

Updated by the provider on Jun 2, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0460436MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.