James Henry Holmes Jr., M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

G30996 Issued in CA

Practice address

1502 St. Mark'S Plaza
Suite 5
Stockton, CA 95207-6409

Phone

(209) 466-8683

Fax

(209) 466-8309

NPI assigned

Nov 5, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2020 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Hill Physicians Care Solutions, Inc.

  • Health Maintenance Organization
  • San Ramon, CA
  • NPI 1437769429
  NPD (past)

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508945940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 ARCHERDALE RD",
            "city": "LINDEN",
            "state": "CA",
            "postal_code": "952369750",
            "telephone_number": "209-887-3188",
            "fax_number": "209-887-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 ST. MARK'S PLAZA",
            "address_2": "SUITE 5",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076409",
            "telephone_number": "209-466-8683",
            "fax_number": "209-466-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G30996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0G309960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha M Holloway
• Shirley Ann Hollowell, R.N.
• Jonathan Edward Holm
• Nadine R Holman
• Savannah Jean Holman
• John Holmes, DO
• Roy Robyn Holmes, LMFT
• Sheronya Holmes
• Danny Holquin
• Claudia Holschneider

• Adult Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.