NPIMap

Organization Active NPI

County of San Joaquin

  • Multi-Specialty Clinic/Center
  • Stockton, CA
National Provider Identifier
1891036612
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
030000087 Issued in CA
Legal business name
COUNTY OF SAN JOAQUIN
Practice address
1414 North California Street Suite C
Stockton, CA 95202-1515
Phone
(209) 953-6400
Fax
(209) 468-9539
NPI assigned
Mar 4, 2013
Organization subpart
Yes
Parent organization
COUNTY OF SAN JOAQUINAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Mr. Ahad Yousuf, MD
Title
Chief Executive Officer
Phone
(209) 953-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 030000087 CA Primary

Addresses

Primary practice location

1414 North California Street Suite C
Stockton, CA 95202-1515

Mailing address

10100 Trinity Pkwy Ste 100
Stockton, CA 95219-7239
Phone (209) 953-3700

Other names 1

  • San Joaquin County Clinics FPC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040301001287 CA Part B Supplier - Clinic/Group Practice 6002703436 Receives reassigned benefits from 541 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stockton, CA; Manteca, CA; French Camp, CA; Frensh Camp, CA
O20140905002364 CA Part A Provider - Federally Qualified Health Center (FQHC) 6002703436 Practice locations: Stockton, CA

Federally qualified health center certification: CCN 751119

Legal name
COUNTY OF SAN JOAQUIN
Doing business as
COUNTY OF SAN JOAQUIN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 5, 2014
Last certification
Sep 5, 2014
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
1414 N California St Ste C
Stockton, CA 95202-1515

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
San Joaquin Gen Hospita94 organizations share this tax ID, including this one
Part of
San Joaquin Gen Hospita

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

1414 N California St
Stockton, CA 95202
Phone (209) 468-2385

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
County of San Joaquin Organization, Stockton, CA Operational/Managerial Control May 28, 2013 100%
Jonathon James Diulio Individual Corporate OfficerChief Executive Officer Sep 1, 2023 100%
Operational/Managerial ControlChief Executive Officer Sep 1, 2023 100%

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
San Joaquin General HospitalFrench Camp, CA, CCN 050167 Hospital Operational/Managerial Control (100%) Feb 25, 2014
County of San JoaquinStockton, CA, CCN 751118 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
County of San JoaquinFrench Camp, CA, CCN 751126 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
San Joaquin County Clinics CHSStockton, CA, CCN 751117 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
San Joaquin County Clinics PMCFrench Camp, CA, CCN 751128 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
San Joaquin County ClinicsFrench Camp, CA, CCN 751127 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
County of San JoaquinManteca, CA, CCN 921002 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2016

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 200

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 200

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1891036612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 TRINITY PKWY STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197239",
            "telephone_number": "209-953-3700",
            "fax_number": "209-953-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NORTH CALIFORNIA STREET SUITE C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021515",
            "telephone_number": "209-953-6400",
            "fax_number": "209-468-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN JOAQUIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SAN JOAQUIN",
        "enumeration_date": "2013-03-04",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "YOUSUF",
        "authorized_official_first_name": "AHAD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "209-953-3700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "030000087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Joaquin County Clinics FPC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Joaquin County Clinics FPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.