MEDICARE: COMMUNITY MEDICAL CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	1200109024	CA

General Provider Information

NPI Number	:	1669720157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY MEDICAL CENTERS, INC.

Provider Business Mailing Address
First Line	:	7210 MURRAY DR
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95210-3339
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 S MARIPOSA RD
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95205-7735
Country	:	US
Telephone Number	:	209-373-2800
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. ARTHUR FEAGLES JR.
Credential	:
Telephone Number	:	209-373-2803

Provider Enumeration Date	:	08/15/2012
Last Update Date	:	10/23/2018

Similar Medicare Providers

1417052937 — JEFFREY RYAN BENNETT
Practice Location Address:

2005 S MARIPOSA RD
STOCKTON, CA
95205-7735

Practice Phone: 209-464-7722
Practice Fax: 209-464-7404

1306984315 — COMMUNITY MEDICAL CENTERS, INC
Practice Location Address:

2003 E MARIPOSA RD
STOCKTON, CA
95205-7735

Practice Phone: 209-751-1910
Practice Fax:

1437328226 — FRANK PAUL PRECISSI PHARMD
Practice Location Address:

2005 E MARIPOSA RD
STOCKTON, CA
95205-7735

Practice Phone: 209-464-7722
Practice Fax: 209-464-7404

1588837025 — COMMUNITY MEDICAL CENTERS
Practice Location Address:

2003 E MARIPOSA RD
STOCKTON, CA
95205-7735

Practice Phone: 209-751-1900
Practice Fax: 209-751-1950

1396918835 — COMMUNITY MEDICAL CENTERS
Practice Location Address:

2003 E MARIPOSA RD
STOCKTON, CA
95205-7735

Practice Phone: 209-751-1900
Practice Fax: 209-751-1950

1558914465 — JASMINE GHUMAN MD
Practice Location Address:

2015 S MARIPOSA RD
STOCKTON, CA
95205-7735

Practice Phone: 209-373-2816
Practice Fax:

Directions to “COMMUNITY MEDICAL CENTERS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.