| Ht Family Physicians, Inc. | |
|
77 W March Ln Suite A Stockton CA 95207-5723 | |
| (209) 477-5552 | |
| (209) 477-5553 |
| Full Name | Ht Family Physicians, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 77 W March Ln, Stockton, California |
| Authorized Official Name and Position | Erik Michael Hill (PRACTICE MANAGER) |
| Authorized Official Contact | 2094775552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ht Family Physicians, Inc. 77 W March Ln Suite A Stockton CA 95207-5723 Ph: (209) 477-5552 | Ht Family Physicians, Inc. 77 W March Ln Suite A Stockton CA 95207-5723 Ph: (209) 477-5552 |
| NPI Number | 1063660298 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 03/16/2020 |
| Medicare PECOS PAC ID | 1254494479 |
|---|---|
| Medicare Enrollment ID | O20090114000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063660298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | FNP 1622 (California) | Primary |
| Provider Name | Clyde Yuen Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487686473 PECOS PAC ID: 1951292465 Enrollment ID: I20040325000536 |
| Provider Name | San Tso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598876716 PECOS PAC ID: 7618935065 Enrollment ID: I20041230000734 |
| Provider Name | Raissa M Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346351566 PECOS PAC ID: 7214976356 Enrollment ID: I20050428000523 |
| Provider Name | Elizabeth Ann Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871598896 PECOS PAC ID: 8820031891 Enrollment ID: I20050609001168 |
| Provider Name | Richelle G Marasigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033408885 PECOS PAC ID: 4183851181 Enrollment ID: I20131219001082 |
| Provider Name | Julia Amezcua-rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215386784 PECOS PAC ID: 3375821358 Enrollment ID: I20161026000202 |
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