Active NPI
Trinity Plaza Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- TRINITY PLAZA SURGERY CENTER LLC
- Practice address
- 10200 Trinity Pkwy
Suite 101
Stockton, CA 95219-7249 - Phone
- (209) 323-3480
- NPI assigned
- Dec 2, 2008
- 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
- Mr. Joseph Harrington
- Title
- Chief Executive Officer
- Phone
- (209) 334-3411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
10200 Trinity Pkwy
Suite 101
Stockton, CA 95219-7249
Mailing address
10200 Trinity Pkwy
Suite 101
Stockton, CA 95219-7249
Phone (209) 323-3480
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2338105 | Trinity Surgery Center | Certificate of waiver | Feb 3, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Primary Care Clinic/Center
- Lodi, CA
- NPI 1225285695
Member Of
Locations
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Lodi, CA
- NPI 1457323446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228176000000",
"number": "1073758264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 TRINITY PKWY",
"address_2": "SUITE 101",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197249",
"telephone_number": "209-323-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 TRINITY PKWY",
"address_2": "SUITE 101",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197249",
"telephone_number": "209-323-3480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY PLAZA SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-02",
"last_updated": "2008-12-02",
"status": "A",
"authorized_official_last_name": "HARRINGTON",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "209-334-3411",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"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 Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.