James Belogorsky, MD
Individual provider Active NPI Internal Medicine Physician · Stockton, CA
NPI 1336104207 · NPPES record last updated Apr 23, 2008
Key facts
- NPI
- 1336104207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G33103 (CA)
- Practice address
- 2505 W Hammer LN
Stockton, CA 95209-2839 - Phone
- (209) 957-7050
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- University of Southern California Keck School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Inpatient Specialists of California PC
Practice addresses (Care Compare)
1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000
Hospital & facility affiliations
- St Joseph'S Medical Center of Stockton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061002000355 | CA | Practitioner - Hospitalist |
5698770345 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G33103 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Specialists of California, PC | Internal Medicine | Current |
Accepting new patients |
| Sutter Gould Medical Foundation | Internal Medicine | Past | Accepting new patients |
Locations
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G33103 | CA | Yes |
Addresses
Primary practice location
2505 W Hammer LN
Stockton, CA 95209-2839
Mailing address
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G331030 | Medicaid | CA |
Other providers in Stockton, CA
- Michael C Bello
- Sebastian Mark Bellomo
- Pei Chuan Bellor-Yeh
- Dominique Bellotti
- Jesus Belmonte Aguilar
- Ashley Belson
- Alyssa Beltran
- Laura Beltran
- Keagan Belyk
- Albina Gonzalez Benabaye
All providers in Stockton, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.