Organization Active NPI

Patricia a. Hatton, M.D., Inc

  • Specialist
  • Stockton, CA
National Provider Identifier
1174759674
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C37702 Issued in CA
Legal business name
PATRICIA A. HATTON, M.D., INC
Practice address
435 E Harding Way
Stockton, CA 95204-6108
Phone
(209) 483-6124
NPI assigned
Jun 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Dr. Patricia Ann Hatton, M.D.NPI 1588778054
Title
Manager/Owner
Phone
(209) 483-6124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C37702 CA Primary

Addresses

Primary practice location

435 E Harding Way
Stockton, CA 95204-6108

Mailing address

435 E Harding Way
Stockton, CA 95204-6108
Phone (209) 483-6124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090625000095 CA Part B Supplier - Clinic/Group Practice 0244381655 Receives reassigned benefits from 1 practitioner
Practice locations: Stockton, CA

National Provider Directory

National Provider Directory

Locations

435 E Harding Way
Ste 2
Stockton, CA 95204
Phone (209) 464-4796

435 E Harding Way
Stockton, CA 95204
Phone (209) 464-4796

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1174759674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E HARDING WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046108",
            "telephone_number": "209-483-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E HARDING WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046108",
            "telephone_number": "209-483-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A. HATTON, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "HATTON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "209-483-6124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C37702",
            "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 Jun 10, 2009; 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.

Verify at the official NPI Registry.