Jesmond Ridge Medical Services a Medical Corporation

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

JESMOND RIDGE MEDICAL SERVICES A MEDICAL CORPORATION

Practice address

525 W Acacla St
Stockton, CA 95203

Phone

(469) 401-2386

NPI assigned

May 4, 2017

Organization subpart

No

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

Authorized official

Name

Kathleen Kondas, MD

Title

VP Provider Enrollment

Phone

(973) 251-1132

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1194251595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "954-838-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W ACACLA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95203",
            "telephone_number": "469-401-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESMOND RIDGE MEDICAL SERVICES A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "VP PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "973-251-1132",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Jacobs May, DDS, Inc.
• Jeremy Jacobs May, DDS, Inc.
• Dezane Jermaine
• Jerome M. McDonald, M.D. Inc.
• Analisa Beatrice Jerue
• Rena Monique Jetton, MS
• Carla S Jewett, RMA
• Arshi Jha, DO
• Alexander Kisam Jhang, D.D.S.
• Rosemary Jhao-Cathcart

• Emergency Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.