Oak Park Health Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OAK PARK HEALTH CARE CENTER

Practice address

2740 N California St # Ca
Stockton, CA 95204-5529

Phone

(209) 466-3522

NPI assigned

Mar 17, 2021

Last updated

Mar 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry Wells

Title

Administrator

Phone

(209) 466-3522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1376128629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 N CALIFORNIA ST # CA",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 N CALIFORNIA ST # CA",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045529",
            "telephone_number": "209-466-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-466-3522"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalie O'Neal
• Mary Ann O'Neill, MFT
• Oak Healthcare Inc (Hammer Lane Pharmacy Clinic)
• Oak Healthcare Inc
• Oak Healthcare Inc (Hammer Lane Pharmacy)
• Marya W Oakes, FNP
• Susan Jeanne Oase, RN, FNP
• Jory Ober
• Madison Star Oberster
• Osorochukwu Sonia Obi

• Skilled Nursing Facility in Stockton, CA
• Providers in Stockton, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.