Stockton Pace, LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

STOCKTON PACE, LLC

Practice address

582 E. Harding Way
Stockton, CA 95204

Phone

(650) 242-5908

NPI assigned

May 9, 2018

Organization subpart

No

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

Authorized official

Name

Katherine Thomas

Title

Executive Director

Phone

(209) 697-2632

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Gonzalez, FNP

  • Family Nurse Practitioner
  • Fresno, CA
  • NPI 1639777394
  NPD
• Valerie Cashon, OT/L

  • Occupational Therapist
  • Stockton, CA
  • NPI 1184240343
  NPD (past)
• Herleen Kaur Chattha, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Stockton, CA
  • NPI 1841960770
  NPD (past)
• Corina Agustin Chiuco, FNP-BC, FNP-C

  • Nurse Practitioner
  • Stockton, CA
  • NPI 1740027325
  NPD (past)
• Da Som Choi

  • Family Nurse Practitioner
  • Modesto, CA
  • NPI 1407484058
  NPD (past)
• David Anthony Fall, FNP-C

  • Family Nurse Practitioner
  • Modesto, CA
  • NPI 1407159510
  NPD (past)
• Jamie Marina Flores, LCSW

  • Clinical Social Worker
  • Stockton, CA
  • NPI 1235648080
  NPD (past)
• Lemuel Peter Haynes Jr., FNP

  • Family Nurse Practitioner
  • Stockton, CA
  • NPI 1790568426
  NPD (past)
• Marshe Ivy, NP

  • Family Nurse Practitioner
  • Elk Grove, CA
  • NPI 1386308955
  NPD (past)
• Jessica Jones, REGISTERED DIETITIAN

  • Registered Dietitian
  • Livermore, CA
  • NPI 1225607666
  NPD (past)
• Robert William Mayhew, OTR

  • Occupational Therapist
  • Stockton, CA
  • NPI 1346435708
  NPD (past)
• Adetoun Adenike Obadofin, NP

  • Family Nurse Practitioner
  • Walnut Creek, CA
  • NPI 1841964087
  NPD (past)

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1356830947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 4051",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "209-442-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 E. HARDING WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95204",
            "telephone_number": "650-242-5908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7560 Sheldon Road",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "95758",
            "country_code": "US",
            "telephone_number": "209-442-6077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 Scenic Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953506137",
            "country_code": "US",
            "telephone_number": "209-442-6077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Coffee Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953554926",
            "country_code": "US",
            "telephone_number": "209-437-8982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "644 E Harding Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952046103",
            "country_code": "US",
            "telephone_number": "800-380-9366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STOCKTON PACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-697-2632"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stockton Nephrology, Inc.
• Stockton Neurological Medical Clinic, Inc
• Stockton Nursing and Rehab Center LLC
• Stockton Orthopedic Medical Group, Inc.
• Stockton Outpatient Surgery Center LLC
• Stockton Pain Medical Center
• Stockton Pathology Medical Group
• Stockton Pathology Medical Group
• Stockton Pediatric Med. Group, Inc.
• Stockton Pharmacy

• PACE Provider Organization in Stockton, CA
• Providers in Stockton, CA by specialty
• PACE Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.