Organization Active NPI

Corky Hul Medical Assoc

Doing business as NorCal Occupational Med Center

  • Occupational Medicine Physician
  • Stockton, CA
National Provider Identifier
1962805630
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
CORKY HUL MEDICAL ASSOC
Doing business as
NorCal Occupational Med Center
Practice address
4722 Quail Lakes Dr
Stockton, CA 95207-5256
Phone
(209) 610-1800
NPI assigned
Oct 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Corky J Hull, M.D.
Title
President
Phone
(209) 323-9394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

4722 Quail Lakes Dr
Stockton, CA 95207-5256

Mailing address

4722 Quail Lakes Dr
Stockton, CA 95207-5256
Phone (209) 610-1800

Other names 1

  • NorCal Occupational Med Center Doing business as

National Provider Directory

National Provider Directory

Locations

4722 Quail Lakes Dr
Stockton, CA 95207
Phone (209) 472-1848

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1962805630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 QUAIL LAKES DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075256",
            "telephone_number": "209-610-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 QUAIL LAKES DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075256",
            "telephone_number": "209-610-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORKY HUL MEDICAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "CORKY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-323-9394",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorCal Occupational Med Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 8, 2014; 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.