Active NPI
Madelaine Aquino, M.D. Inc.
- Clinic/Center
- Stockton, CA
National Provider Identifier
1518188366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 07-00087928
- Legal business name
- MADELAINE AQUINO, M.D. INC.
- Practice address
- 10200 Trinity Pkwy
Suite 207
Stockton, CA 95219-7286 - Phone
- (209) 943-6740
- Fax
- (209) 943-6744
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Madelaine Mabunga Aquino, M.D.
- Title
- President
- Phone
- (209) 943-6740
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 07-00087928 | CA | Primary |
Addresses
Primary practice location
10200 Trinity Pkwy
Suite 207
Stockton, CA 95219-7286
Mailing address
10200 Trinity Pkwy
Suite 207
Stockton, CA 95219-7286
Phone (209) 943-6740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2626 N California St
Ste C
Stockton, CA 95204
Phone (209) 465-7463
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Stockton, CA
- NPI 1841379856
-
- Physical Medicine & Rehabilitation Physician
- Stockton, CA
- NPI 1225037054
-
- Physical Medicine & Rehabilitation Physician
- Stockton, CA
- NPI 1801095039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299456000000",
"number": "1518188366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 TRINITY PKWY",
"address_2": "SUITE 207",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197286",
"telephone_number": "209-943-6740",
"fax_number": "209-943-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 TRINITY PKWY",
"address_2": "SUITE 207",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197286",
"telephone_number": "209-943-6740",
"fax_number": "209-943-6744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADELAINE AQUINO, M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2011-03-07",
"status": "A",
"authorized_official_last_name": "AQUINO",
"authorized_official_first_name": "MADELAINE",
"authorized_official_middle_name": "MABUNGA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-943-6740",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "07-00087928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.