Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Central Stockton Medical Clinic

Organization Family Medicine Physician · NPI 1932148343

Central Stockton Medical Clinic provides Family Medicine Physician services in Stockton, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1508 W Ln
Stockton, CA 95205-3340 Not confirmed with CMS for 18 years — call before visiting
Phone: (209) 948-2886
Fax: (209) 948-2831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1932148343
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Edington — Director/Owner · (209) 948-5515
NPI enumeratedJune 5, 2006
Last updated in NPPESJanuary 4, 2008
Mailing address1144 Norman Dr, Suite 102, Manteca, CA 95336-5925

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