Organization Active NPI

Luigi C. Pacini M.D. Inc.

  • Family Medicine Physician
  • Stockton, CA
National Provider Identifier
1255490231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A4367 Issued in CA
Legal business name
LUIGI C. PACINI M.D. INC.
Practice address
1307 N Commerce St
Stockton, CA 95202-1012
Phone
(209) 464-7757
Fax
(209) 464-7761
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gilbert Eldon Greene, DONPI 1124007430
Title
Owner President
Phone
(209) 464-7757

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A4367 CA Primary

Addresses

Primary practice location

1307 N Commerce St
Stockton, CA 95202-1012

Mailing address

1307 N Commerce St
Stockton, CA 95202-1012
Phone (209) 464-7757

Other identifiers 1

IdentifierTypeStateIssuer
20A4367OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

1307 N Commerce St
Stockton, CA 95202
Phone (209) 464-7757

Practitioners & affiliated clinicians

Practitioners 3

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255490231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 N COMMERCE ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021012",
            "telephone_number": "209-464-7757",
            "fax_number": "209-464-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N COMMERCE ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021012",
            "telephone_number": "209-464-7757",
            "fax_number": "209-464-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIGI C. PACINI M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "ELDON",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "209-464-7757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A4367",
            "state": "CA"
        }
    ],
    "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 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.

Verify at the official NPI Registry.