NPIMap

Organization Active NPI

County of San Joaquin

Doing business as End Stage Renal Disease Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • French Camp, CA
National Provider Identifier
1235213463
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
030000087 Issued in CA
Legal business name
COUNTY OF SAN JOAQUIN
Doing business as
End Stage Renal Disease Dialysis Center
Practice address
7783 South Freedom Rd.
French Camp, CA 95231
Phone
(209) 468-6937
Fax
(209) 468-7042
NPI assigned
Oct 24, 2006
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN JOAQUIN GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Mrs. Sheela Kapre, MD, FCCP, FACPNPI 1245256544
Title
Chief Medical Officer
Phone
(209) 468-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 030000087 CA Primary

Addresses

Primary practice location

7783 South Freedom Rd.
French Camp, CA 95231

Mailing address

PO Box 1020
Stockton, CA 95201-3120
Phone (209) 468-6937

Other names 1

  • End Stage Renal Disease Dialysis Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070112000520 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 6002703436 Practice locations: French Camp, CA

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
County of San Joaquin94 organizations share this tax ID, including this one
Part of
County of San Joaquin

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

Dept LA 24878
Pasadena, CA 91185

Ownership & related parties

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
San Joaquin General HospitalFrench Camp, CA, CCN 050167 Hospital Operational/Managerial Control (100%) Feb 25, 2014
County of San JoaquinStockton, CA, CCN 751118 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
County of San JoaquinFrench Camp, CA, CCN 751126 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
County of San JoaquinStockton, CA, CCN 751119 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
San Joaquin County Clinics CHSStockton, CA, CCN 751117 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
San Joaquin County Clinics PMCFrench Camp, CA, CCN 751128 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
San Joaquin County ClinicsFrench Camp, CA, CCN 751127 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
County of San JoaquinManteca, CA, CCN 921002 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2016

Owned or controlled facilities with NPI records 8

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1235213463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1020",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952013120",
            "telephone_number": "209-468-6937",
            "fax_number": "209-468-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7783 SOUTH FREEDOM RD.",
            "city": "FRENCH CAMP",
            "state": "CA",
            "postal_code": "95231",
            "telephone_number": "209-468-6937",
            "fax_number": "209-468-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN JOAQUIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN JOAQUIN GENERAL HOSPITAL",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "KAPRE",
        "authorized_official_first_name": "SHEELA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "209-468-6600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD, FCCP, FACP"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "030000087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "End Stage Renal Disease Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "End Stage Renal Disease Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in French Camp, CA

Sources for this page

Verify at the official NPI Registry.