Organization Active NPI

Marie Pearl C. Francisco, MD, Inc

  • Primary Care Clinic/Center
  • Stockton, CA
National Provider Identifier
1770721649
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A91644 Issued in CA
Legal business name
MARIE PEARL C. FRANCISCO, MD, INC
Practice address
1805 N California St
Suite 206
Stockton, CA 95204-6037
Phone
(209) 948-3009
Fax
(209) 948-3003
NPI assigned
Jan 30, 2009
Last updated
Aug 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Dr. Marie Pearl Francisco, M.D.
Title
President
Phone
(209) 948-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A91644 CA Primary

Addresses

Primary practice location

1805 N California St
Suite 206
Stockton, CA 95204-6037

Mailing address

4685 Pine Valley Cir
Stockton, CA 95219-1881
Phone (209) 956-5218

Other identifiers 1

IdentifierTypeStateIssuer
00A91644MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090723000216 CA Part B Supplier - Clinic/Group Practice 6507918422 Receives reassigned benefits from 1 practitioner
Practice locations: Stockton, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1097011Marie Pearl C Francisco, MD, Inc1805 N California St Ste 206, Stockton, CA 95204Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory

Locations

123 S Commerce St
Ste B
Stockton, CA 95202
Phone (209) 948-3009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1770721649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 PINE VALLEY CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952191881",
            "telephone_number": "209-956-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST",
            "address_2": "SUITE 206",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046037",
            "telephone_number": "209-948-3009",
            "fax_number": "209-948-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE PEARL C. FRANCISCO, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-948-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A91644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A91644",
            "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 Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.