Organization Active NPI

Harjit Sud M.D&Thomas T. Streeter M.D. Professional Corp

  • Specialist
  • Stockton, CA
National Provider Identifier
1962537233
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HARJIT SUD M.D&THOMAS T. STREETER M.D. PROFESSIONAL CORP
Practice address
2509 W March LN
Suite 250
Stockton, CA 95207-8252
Phone
(209) 957-1000
Fax
(209) 957-1001
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Ms. Kathleen Edwards
Title
Manager
Phone
(209) 957-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2509 W March LN
Suite 250
Stockton, CA 95207-8252

Mailing address

2509 W March LN
Ste.250
Stockton, CA 95207-8252
Phone (209) 957-1000

National Provider Directory

National Provider Directory

Locations

2509 W March Ln
Ste 250
Stockton, CA 95207
Phone (209) 222-6061

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1962537233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 W MARCH LN",
            "address_2": "STE.250",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078252",
            "telephone_number": "209-957-1000",
            "fax_number": "209-957-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 W MARCH LN",
            "address_2": "SUITE 250",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078252",
            "telephone_number": "209-957-1000",
            "fax_number": "209-957-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARJIT SUD M.D&THOMAS T. STREETER M.D. PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-957-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 21, 2007; 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.