Stockton Neurological Medical Clinic, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G16430 Issued in CA

Legal business name

STOCKTON NEUROLOGICAL MEDICAL CLINIC, INC

Practice address

2815 N California St
Stockton, CA 95204-3738

Phone

(209) 466-3551

Fax

(209) 465-7437

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Warren David Clift, M.D.

Title

President

Phone

(209) 466-3551

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1801074737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043738",
            "telephone_number": "209-466-3551",
            "fax_number": "209-465-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043738",
            "telephone_number": "209-466-3551",
            "fax_number": "209-465-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTON NEUROLOGICAL MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "CLIFT",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-466-3551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G16430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0067140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stockton Kidney Clinic, LLC
• Stockton Lymphedema Therapy and Physical Rehabilitation
• Stockton Medical Weight Loss Center Inc
• Stockton MRI & Molecular Imaging Medical Center Inc
• Stockton Nephrology, Inc.
• Stockton Nursing and Rehab Center LLC
• Stockton Orthopedic Medical Group, Inc.
• Stockton Outpatient Surgery Center LLC
• Stockton Pace, LLC
• Stockton Pain Medical Center

• Specialist in Stockton, CA
• Providers in Stockton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.