Active NPI
William King Chapman Jr., PA
- Specialist
- Stockton, CA
National Provider Identifier
1659345254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PA11701
- Practice address
- 4628 Georgetown PL
Stockton, CA 95207-6204 - Phone
- (209) 478-6177
- Fax
- (209) 478-6219
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PA11701 | CA | Primary |
Addresses
Primary practice location
4628 Georgetown PL
Stockton, CA 95207-6204
Mailing address
4628 Georgetown PL
Stockton, CA 95207-6204
Phone (209) 478-6177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA 11701 | Other | CA | PA LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11701 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1659345254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4628 GEORGETOWN PL",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076204",
"telephone_number": "209-478-6177",
"fax_number": "209-478-6219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4628 GEORGETOWN PL",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076204",
"telephone_number": "209-478-6177",
"fax_number": "209-478-6219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "WILLIAM",
"middle_name": "KING",
"name_suffix": "Jr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PA11701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE NUMBER",
"identifier": "PA 11701",
"state": "CA"
}
],
"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 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.