NPIMap

Individual provider Active NPI

Atul Verma, M.D.

  • Family Medicine Physician
  • Stockton, CA
National Provider Identifier
1093027989
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301097179 Issued in MI
Practice address
4568 Feather River Dr Ste D
Stockton, CA 95219-6508
Phone
(734) 467-4000
NPI assigned
Jul 8, 2010
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301097179 MI Primary

Addresses

Primary practice location

4568 Feather River Dr Ste D
Stockton, CA 95219-6508

Mailing address

9837 Kapalua LN
Elk Grove, CA 95624-5003
Phone (530) 613-4490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141023002298 MI Practitioner - Family Practice 1355562943 Reassigns benefits to 4 organizations
I20210622000398 CA Practitioner - Internal Medicine 1355562943 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Physician IncGroup PAC ID 7315291473, 6 clinicians
Av Corp IncGroup PAC ID 7416302401, 5 clinicians

Practice addresses (Care Compare)

2453 Naglee Rd
Tracy, CA 95304-7324
Phone (209) 395-2360

4568 Feather River Dr
Suite D
Stockton, CA 95219-6508
Phone (734) 776-7889

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Careconnectmd Ca PC Family Medicine CurrentSince Nov 29, 2023 Accepting new patients
Av Corp Inc Family Medicine CurrentSince May 1, 2023 Accepting new patients
Access Physician Inc. Family Medicine CurrentSince May 1, 2021 Accepting new patients
Oak Park Urgent Care PLLC CurrentSince Jan 1, 2015 Accepting new patients
Southfield City Urgent Care PC CurrentSince Sep 14, 2014 Accepting new patients
Hoover Urgent Care of Warren PLLC Family Medicine CurrentSince Oct 6, 2014 Accepting new patients
Henry Ford Health System CurrentSince Sep 6, 2016 Accepting new patients
Henr Y Ford Health System Family Medicine CurrentSince Sep 6, 2016 Accepting new patients
Henry Ford Macomb Hospital Corporation Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1334 S Ham Ln
Lodi, CA 95242
Phone (209) 334-3825

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

2819 W March Ln
#B6135
Stockton, CA 95219

4568 Feather River Dr
Ste D
Stockton, CA 95219
Phone (209) 395-2360

2453 Naglee Rd
Tracy, CA 95304
Phone (209) 395-2360

1961 S Telegraph Rd
Bloomfield Township, MI 48302
Phone (248) 319-6190

19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

24661 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-4000

23832 Southfield Rd
Southfield, MI 48075
Phone (248) 443-8089

26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707

22505 Allen Rd
Woodhaven, MI 48183
Phone (734) 671-6217

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ms_averm260@landmarkhealth-direct.org

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Modesto Post Acute CenterModesto, CA, CCN 055849 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 4, 2024
Sep 4, 2024
Lodi Creek Post-AcuteLodi, CA, CCN 055289 Skilled nursing facility Adp of the SNF Jun 5, 2019
Valley Skilled Nursing CenterModesto, CA, CCN 055869 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2023
Sep 30, 2025
River View Post AcuteModesto, CA, CCN 055011 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2022
Sep 16, 2025
Riverbank Post-AcuteRiverbank, CA, CCN 055084 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 25, 2023
May 25, 2023
Oak Grove Post AcuteStockton, CA, CCN 055201 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 14, 2024
Oct 14, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 7

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1093027989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9837 KAPALUA LN",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245003",
            "telephone_number": "530-613-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 FEATHER RIVER DR STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952196508",
            "telephone_number": "734-467-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "ATUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301097179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.