- Medicare in Stockton, CA

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is a medicare enrolled "Clinic/center - Physical Therapy" provider in Stockton, California. Their current practice location is 1716 W Hammer Ln, Stockton, California. You can reach out to their office (for appointments etc.) via phone at (209) 473-2383.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1811150311.

Contact Information

1716 W Hammer Ln,
Stockton, CA 95209-2922
(209) 473-2383
(209) 473-1350

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Physical Therapy
Location1716 W Hammer Ln, Stockton, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811150311
  • Provider Enumeration Date: 07/03/2008
  • Last Update Date: 04/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698834174
  • Enrollment ID: O20081113000047

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811150311NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameKelly Sanders
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316978182
PECOS PAC ID: 4789664988
Enrollment ID: I20040720000956
Provider NameCarmela E Reynoso
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598733164
PECOS PAC ID: 5193733384
Enrollment ID: I20060329000755
Provider NameLuke D Gentry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174709737
PECOS PAC ID: 3274618012
Enrollment ID: I20080304000672
Provider NameVincent J Kambe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356526099
PECOS PAC ID: 1355426404
Enrollment ID: I20080313000122
Provider NameFrederic Hanker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396776779
PECOS PAC ID: 1850434549
Enrollment ID: I20100203000378
Provider NameJason A Roda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093746281
PECOS PAC ID: 7517944606
Enrollment ID: I20100204000062
Provider NameJulie Butler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538197819
PECOS PAC ID: 8921141425
Enrollment ID: I20100205000454
Provider NameEmily L Watts
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710269246
PECOS PAC ID: 4486828670
Enrollment ID: I20111128000679
Provider NameEliza R Downs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093050387
PECOS PAC ID: 6002069945
Enrollment ID: I20121231000213
Provider NameKalahan Slette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144653569
PECOS PAC ID: 5799914883
Enrollment ID: I20140213000741
Provider NameIan Halderman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134661192
PECOS PAC ID: 6204116106
Enrollment ID: I20161212001564
Provider NameKyle Nelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417473539
PECOS PAC ID: 0547536070
Enrollment ID: I20171026003524
Provider NameEvelyn N Delgado
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932703360
PECOS PAC ID: 9537572128
Enrollment ID: I20201228000552
Provider NameAaron Moreno
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821690140
PECOS PAC ID: 3870906944
Enrollment ID: I20210108002365
Provider NameSumin Seo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871232561
PECOS PAC ID: 6406237395
Enrollment ID: I20220725000626
Provider NameMing Li
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760104871
PECOS PAC ID: 9133505076
Enrollment ID: I20220930000313
Provider NameKathleen Ruhstaller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922704295
PECOS PAC ID: 6406221936
Enrollment ID: I20230413002581
Provider NameKristen Dibernardo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700576865
PECOS PAC ID: 6305203209
Enrollment ID: I20230608001225
Provider NameCrystal U Ignacio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952343667
PECOS PAC ID: 0143307546
Enrollment ID: I20231109002700
Provider NameEmily Acton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023785490
PECOS PAC ID: 0749688893
Enrollment ID: I20231213003606
Provider NameSimrandeep Sandhu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639943186
PECOS PAC ID: 5294186185
Enrollment ID: I20240104002462
Provider NameBrandon Mcminn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205694437
PECOS PAC ID: 0941647812
Enrollment ID: I20240327002186
Provider NameNicholas James Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700640703
PECOS PAC ID: 4981140605
Enrollment ID: I20240718001031
Provider NameErnesto Montoya
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811744899
PECOS PAC ID: 9931649506
Enrollment ID: I20240910001990
Provider NameAlanna Valdez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871317172
PECOS PAC ID: 5092240697
Enrollment ID: I20241119003597

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

408 Higuera St Ste 200,
San Luis Obispo, CA 93401-6135

Ph: (805) 788-0805
1716 W Hammer Ln,
Stockton, CA 95209-2922

Ph: (209) 473-2383

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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