Individual provider Active NPI

James Paul Ching Maganito, DO, MPH, MHA

  • Obstetrics & Gynecology Physician
  • Stockton, CA
National Provider Identifier
1063692440
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A11694 Issued in CA
Practice address
1617 N California St Ste 2a
Stockton, CA 95204-6117
Phone
(209) 334-1800
Fax
(209) 334-2416
NPI assigned
Nov 14, 2007
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OP60106585 WA
Obstetrics & Gynecology Physician 207V00000X 5101016513 MI
Obstetrics & Gynecology Physician 207V00000X 20A11694 CA Primary

Addresses

Primary practice location

1617 N California St Ste 2a
Stockton, CA 95204-6117

Mailing address

PO Box 1090
Lodi, CA 95241-1090
Phone (209) 334-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221214000681 CA Practitioner - Obstetrics/Gynecology 8224177001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P. Gill Obstetrics and Gynecology Medical Group, Inc.Group PAC ID 9133019755, 10 clinicians

Practice addresses (Care Compare)

1617 N California St
Suite 2a
Stockton, CA 95204-6117
Phone (209) 466-8546

333 Laws Ave
Ukiah, CA 95482-6540

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11694CAMDObstetrics & Gynecology Physician
5101016513MIMDObstetrics & Gynecology Physician
OP60106585WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mendocino Community Health Clinic, Inc. CurrentSince Jun 1, 2025 Accepting new patients
P. Gill Obstetrics & Gynecology Medical Group, Inc. Obstetrics & Gynecology CurrentSince Jan 16, 2023 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Jun 1, 2025 Accepting new patients
P. Gill Obsteterics & Gynecology Medical Group, Inc PastSince Dec 28, 2022 Accepting new patients
Mendocino Community Health Clinic, Inc. Past Accepting new patients

Locations

1617 N California St
Ste 2A
Stockton, CA 95204
Phone (209) 466-8546

333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1063692440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952411090",
            "telephone_number": "209-334-1800",
            "fax_number": "209-334-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N CALIFORNIA ST STE 2A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046117",
            "telephone_number": "209-334-1800",
            "fax_number": "209-334-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANITO",
        "first_name": "JAMES PAUL",
        "middle_name": "CHING",
        "name_prefix": "Dr.",
        "credential": "DO, MPH, MHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP60106585",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101016513",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A11694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.