NPIMap

Organization Active NPI

Community Medical Centers, Inc.

Doing business as Community Medical Center

  • Clinic/Center
  • Manteca, CA
National Provider Identifier
1285912956
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
550000238 Issued in CA
Legal business name
COMMUNITY MEDICAL CENTERS, INC.
Doing business as
Community Medical Center
Practice address
200 Cottage Ave Ste 103
Manteca, CA 95336-4935
Phone
(209) 624-5800
Fax
(209) 624-5801
NPI assigned
Jul 29, 2011
Last updated
Jul 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Mr. Michael Kirkpatrick
Title
Ceo
Phone
(209) 373-2833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 550000238 CA Primary

Addresses

Primary practice location

200 Cottage Ave Ste 103
Manteca, CA 95336-4935

Mailing address

7210 Murray Dr
Stockton, CA 95210-3339
Phone (209) 373-2838

Other identifiers 1

IdentifierTypeStateIssuer
1710211214MedicaidCA

Other names 1

  • Community Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Woodridge Medical GRP65 organizations share this tax ID, including this one

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

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1285912956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 MURRAY DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103339",
            "telephone_number": "209-373-2838",
            "fax_number": "209-373-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COTTAGE AVE STE 103",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364935",
            "telephone_number": "209-624-5800",
            "fax_number": "209-624-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-373-2833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "550000238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710211214",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.