| San Joaquin County Clinic Manteca | |
|
283 Spreckels Ave Manteca CA 95336-6005 | |
| (209) 953-6400 | |
| (209) 239-4246 |
| Full Name | San Joaquin County Clinic Manteca |
|---|---|
| Speciality | Clinic/Center |
| Location | 283 Spreckels Ave, Manteca, California |
| Authorized Official Name and Position | Farhan Fadoo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2099533700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Joaquin County Clinic Manteca 10100 Trinity Parkway Suite 100 Stockton CA 95219 Ph: (209) 953-3700 | San Joaquin County Clinic Manteca 283 Spreckels Ave Manteca CA 95336-6005 Ph: (209) 953-6400 |
| NPI Number | 1417407636 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 04/10/2024 |
| Medicare PECOS PAC ID | 6002703436 |
|---|---|
| Medicare Enrollment ID | O20170814003025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417407636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 030000087 (California) | Primary |
Tan Tran Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 292 Cottage Ave, Manteca, CA 95336 Phone: 209-239-4229 Fax: 209-239-4209 | |
Genuine Cares Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1234 E North St, Ste 106, Manteca, CA 95336 Phone: 209-824-7600 Fax: 209-824-9400 | |
Ripudaman S Beniwal Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1144 Norman Dr, Suite 101, Manteca, CA 95336 Phone: 209-239-0515 Fax: 209-239-0504 | |
Zoraya O. Zuniga-macaraig Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Cherry Ln, Suite 111, Manteca, CA 95337 Phone: 209-239-4515 Fax: 209-239-7815 | |
Community Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Cottage Ave Ste 103, Manteca, CA 95336 Phone: 209-624-5800 Fax: 209-624-5801 | |
Randall K. Yee Md, A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Saint Dominics Dr, Ste. #201, Manteca, CA 95337 Phone: 209-823-1701 Fax: 209-823-0996 | |
Bhupinder S Romana Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1144 Norman Dr Ste 203, Manteca, CA 95336 Phone: 209-405-2406 Fax: 209-956-9180 |