Active NPI
Port City Operating Company, LLC
- Institutional Pharmacy
- Stockton, CA
National Provider Identifier
1508998923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- HSP45514
- Legal business name
- PORT CITY OPERATING COMPANY, LLC
- Practice address
- 1800 N California St
Stockton, CA 95204-6019 - Phone
- (858) 275-8112
- Fax
- (779) 803-8118
- NPI assigned
- Mar 12, 2007
- Organization subpart
- Yes
- Parent organization
- PORT CITY OPERATING COMPANY, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Morisette
- Title
- System Chief Financial Officer
- Phone
- (858) 275-8112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | HSP45514 | CA | Primary |
Addresses
Primary practice location
1800 N California St
Stockton, CA 95204-6019
Mailing address
PO Box 213008
Stockton, CA 95213-9008
Phone (858) 275-8112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHB161000 | Medicaid | CA | |
| 0548404 | Other | NCPDP |
Other names 1
- St. Joseph's Medical Center of Stockton
National Provider Directory
National Provider Directory- Tax ID family
- Port City Operating Company LLC
- Part of
- Port City Operating Company LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
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- Stockton, CA
- NPI 1053443473
-
- Home Health Agency
- Stockton, CA
- NPI 1306978945
-
- Addiction (Substance Use Disorder) Counselor
- Stockton, CA
- NPI 1679395990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754870400000",
"number": "1508998923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 213008",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952139008",
"telephone_number": "858-275-8112",
"fax_number": "779-803-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N CALIFORNIA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046019",
"telephone_number": "858-275-8112",
"fax_number": "779-803-8118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORT CITY OPERATING COMPANY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PORT CITY OPERATING COMPANY, LLC",
"enumeration_date": "2007-03-12",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A",
"authorized_official_last_name": "MORISETTE",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "SYSTEM CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "858-275-8112"
},
"taxonomies": [
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "CA",
"license": "HSP45514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHB161000",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0548404",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Joseph's Medical Center of Stockton",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.