Active NPI
California's Advanced Institute of Vision Medical Group, Inc
- Ophthalmology Physician
- Stockton, CA
National Provider Identifier
1215928775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- CALIFORNIA'S ADVANCED INSTITUTE OF VISION MEDICAL GROUP, INC
- Practice address
- 1801 E March Lane C350
Stockton, CA 95210-6674 - Phone
- (209) 474-2121
- Fax
- (209) 474-1181
- NPI assigned
- Nov 3, 2005
- Last updated
- Aug 22, 2020
- 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
- Harold Edward Hand Jr., MD
- Title
- Ophthalmology
- Phone
- (209) 474-2121
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1801 E March Lane C350
Stockton, CA 95210-6674
Mailing address
1801 E March Lane C350
Stockton, CA 95210-6674
Phone (209) 474-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0094060 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
36 W Yokuts Ave
Ste 2
Stockton, CA 95207
Phone (209) 474-2121
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Stockton, CA
- NPI 1891703229
-
- Ophthalmology Physician
- Stockton, CA
- NPI 1437258183
-
- Ophthalmology Physician
- Stockton, CA
- NPI 1073612735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215928775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 E MARCH LANE C350",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952106674",
"telephone_number": "209-474-2121",
"fax_number": "209-474-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 E MARCH LANE C350",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952106674",
"telephone_number": "209-474-2121",
"fax_number": "209-474-1181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA'S ADVANCED INSTITUTE OF VISION MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAND",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OPHTHALMOLOGY",
"authorized_official_telephone_number": "209-474-2121",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0094060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
- California Quality Pharmacy
- California Rehab Physical Therapy, Inc.
- California Sports Physical Therapy Centers, Inc. (California Sports Physical Therapy)
- California Street Outpatient Surgery Center, LLC
- California Urgent Care Center Professional Corporation
- Ryan James Callery, M.D.
- Vollie A Calloway, D.D.S.
- Calmont Pharmacy Inc (Calmont Pharmacy)
- Olga Marina Caloca
- Angelica Caluza
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.