Pediatric Associates of Stockton

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF STOCKTON

Practice address

89 W March LN
Suite #1
Stockton, CA 95207-5723

Phone

(209) 478-2622

Fax

(209) 870-2754

NPI assigned

Aug 24, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sue Zumwalt

Title

Office Administrator

Phone

(209) 870-2724

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

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.

• Steven Louis Billigmeier, M.D.

  • Pediatrics Physician
  • Stockton, CA
  • NPI 1912902131
  NPD (past)
• Carol Teng Cahill, M.D.

  • Pediatrics Physician
  • Stockton, CA
  • NPI 1538164751
  NPD (past)
• Linda M Sakimura, M.D.

  • Pediatrics Physician
  • Stockton, CA
  • NPI 1073518296
  NPD (past)
• Erica R Waters, M.D.

  • Pediatrics Physician
  • Stockton, CA
  • NPI 1003811803
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851384911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 W MARCH LN",
            "address_2": "SUITE #1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075723",
            "telephone_number": "209-478-2622",
            "fax_number": "209-870-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 W MARCH LN",
            "address_2": "SUITE #1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075723",
            "telephone_number": "209-478-2622",
            "fax_number": "209-870-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF STOCKTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZUMWALT",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "209-870-2724",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "ZZZ557612",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather E Pearson, PSY.D.
• Marquetta Pearson
• Anthony Edward Pedalino, PHARM.D.
• Laugatausala Kayla Ann Pedebone
• Robert E Pedersen, O.D.
• Pediatric Care of Stockton
• Elio Pedroso Conroy, MD
• Rosa M Pedroza
• Peebles Family Care Home (PALS Assisted Living Services Inc)
• Peebles Family Care Home (PALS Assisted Living Services Inc)

• Pediatrics Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.