County of San Joaquin
Organization Active NPI General Acute Care Hospital · French Camp, CA
NPI 1801830583 · NPPES record last updated Aug 24, 2022
Key facts
- NPI
- 1801830583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 030000087 (CA)
- Legal business name
- COUNTY OF SAN JOAQUIN
- Practice address
- 500 W. Hospital Rd.
French Camp, CA 95231 - Phone
- (209) 468-6937
- Fax
- (209) 468-7043
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Sheela Kapre, MD, FCCP, FACP
- Title
- Chief Medical Officer
- Phone
- (209) 468-6600
Owned or controlled facilities with NPI records 8
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 10
Practitioners 598
-
Siddharth Agarwal, M.D.
-
Hayder Ahmed, M.D.
-
Joel Racasa Angel, M.D.
-
Julienne Angeles, MD, MPH
-
Matthew D. Benedict, M.D.
-
Danielle Berera, M.D.
-
Pardeep S Brar, MD,
-
Rasvin Buttar, N.P.
-
Robert Morrison Cash, M.D.
-
Felipe Chavez, MD
-
Walter W Chien, MD
-
Ramesh N. Dharawat, M.D.
-
John Engaling, MSN, APRN, FNP-BC
-
Tonya F. Fuller, MD
-
Bassem Ghobrial, M.D.
-
Gurinder Singh Ghotra, M.D.
-
Amandeep Singh Gill, M.D
-
Mario C Giudici, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
All facility ownership & control disclosures 8
| Facility | Type | Role | Since |
|---|---|---|---|
| San Joaquin General Hospital |
Hospital | Operational/Managerial Control (100%) | Feb 25, 2014 |
| County of San Joaquin |
Federally qualified health center | Operational/Managerial Control (100%) | May 28, 2013 |
| County of San Joaquin |
Federally qualified health center | Operational/Managerial Control (100%) | May 28, 2013 |
| County of San Joaquin |
Federally qualified health center | Operational/Managerial Control (100%) | May 28, 2013 |
| San Joaquin County Clinics CHS |
Federally qualified health center | Operational/Managerial Control (100%) | May 28, 2013 |
| San Joaquin County Clinics PMC |
Federally qualified health center | Operational/Managerial Control (100%) | May 28, 2013 |
| San Joaquin County Clinics |
Federally qualified health center | Operational/Managerial Control (100%) | May 28, 2013 |
| County of San Joaquin |
Federally qualified health center | Operational/Managerial Control (100%) | Dec 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040301001287 | CA | Part B Supplier - Clinic/Group Practice | 6002703436 |
Receives reassigned benefits from 541 practitioners 7 other NPIs on this enrollment Practice locations: Stockton, CA; Manteca, CA; French Camp, CA; Frensh Camp, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 030000087 | CA | Yes |
Addresses
Primary practice location
500 W. Hospital Rd.
French Camp, CA 95231
Mailing address
PO Box 1020
Stockton, CA 95201-3120
Phone (209) 468-6937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSC00167F | Other | CA | MEDI-CAL 1 O PT |
| HSC00167W | Other | CA | MEDI-CAL 2 I PT |
| HSP40167W | Other | CA | MEDI-CAL 2 O PT |
| ZZR00167W | Other | CA | MEDI-CAL 2 I PT NCON |
| ZZR00167F | Other | CA | MEDI-CAL 1 I PT NON CON |
| HSP40167F | Other | CA | MEDI-CAL 1 O PT |
Other names
- San Joaquin General Hospital
Other providers in French Camp, CA
- County of San Joaquin
- County of San Joaquin
- County of San Joaquin
- County of San Joaquin
- County of San Joaquin
- County of San Joaquin
- County of San Joaquin
- County of San Joaquin
- Janet E. Crawford
- John David Croft
All providers in French Camp, CA · General Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.