Candy A. Stockton-Joreteg, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A89133 Issued in CA

Practice address

2316 Harrison Ave
Eureka, CA 95501-3217

Phone

(074) 420-4787

Fax

(707) 443-2527

NPI assigned

Jun 6, 2006

Last updated

Oct 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Humboldt del Norte Independent Practice Association

  • Health Maintenance Organization
  • Eureka, CA
  • NPI 1457565152

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1417996240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013217",
            "telephone_number": "707-442-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013217",
            "telephone_number": "074-420-4787",
            "fax_number": "707-443-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON-JORETEG",
        "first_name": "CANDY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A891330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Jesse Stickels Jr.
• Still Waters Counseling
• Stillwater Counseling LLC
• Christine M Stirtz, RN
• Sandor K Stockfleth
• Deepak Kumar Stokes, M.D.
• Jessica Ann Stokes, FNP-C
• Kusum G Stokes, M.D.
• Kathryn Stollmeyer, PA-C
• Ashley Kiersten-Klump Stone, RN

• Family Medicine Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.