Active NPI
Dennis W del Paine MD Inc
- Allergy & Immunology Physician
- Stockton, CA
National Provider Identifier
1053590737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- G37345
- Legal business name
- DENNIS W DEL PAINE MD INC
- Practice address
- 5309 Carrington Circle
Stockton, CA 95210-3516 - Phone
- (209) 951-4100
- Fax
- (209) 951-2324
- NPI assigned
- Oct 30, 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
- Ms. Kristie D Toler
- Title
- Office Manager
- Phone
- (209) 951-4100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | G37345 | CA | Primary |
| Rheumatology Physician | 207RR0500X | G37345 | CA |
Addresses
Primary practice location
5309 Carrington Circle
Stockton, CA 95210-3516
Mailing address
5309 Carrington Circle
Stockton, CA 95210-3516
Phone (209) 951-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5309 Carrington Cir
Stockton, CA 95210
Phone (209) 951-4100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Stockton, CA
- NPI 1851452213
-
- Allergy Physician
- Sacramento, CA
- NPI 1669457057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584057600000",
"number": "1053590737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5309 CARRINGTON CIRCLE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103516",
"telephone_number": "209-951-4100",
"fax_number": "209-951-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5309 CARRINGTON CIRCLE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103516",
"telephone_number": "209-951-4100",
"fax_number": "209-951-2324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENNIS W DEL PAINE MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-30",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A",
"authorized_official_last_name": "TOLER",
"authorized_official_first_name": "KRISTIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "209-951-4100",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "G37345",
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "G37345",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.