| San Joaquin County Clinics Fmc | |
|
500 West Hospital Rd Suite B French Camp CA 95231-9693 | |
| (209) 953-6400 | |
| (209) 468-6212 |
| Full Name | San Joaquin County Clinics Fmc |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 West Hospital Rd Suite B, French Camp, 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 Clinics Fmc 10100 Trinity Parkway Suite 100 Stockton CA 95219 Ph: (209) 953-3700 | San Joaquin County Clinics Fmc 500 West Hospital Rd Suite B French Camp CA 95231-9693 Ph: (209) 953-6400 |
| NPI Number | 1578803425 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 6002703436 |
|---|---|
| Medicare Enrollment ID | O20140910001434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578803425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 030000087 (California) | Primary |
| Provider Name | Ladonna Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962500157 PECOS PAC ID: 8123197118 Enrollment ID: I20080516000288 |
County Of San Joaquin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Hospital Rd Ste A, French Camp, CA 95231 Phone: 209-468-6937 Fax: 209-468-6114 | |
San Joaquin Faculty Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Hospital Rd, French Camp, CA 95231 Phone: 209-473-6555 Fax: 209-473-6544 | |
San Joaquin County Clinics Hbf Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 W Hospital Rd Suite A, French Camp, CA 95231 Phone: 209-953-6400 Fax: 209-468-7177 | |
San Joaquin County Clinics Pmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 W Hospital Rd Suite C, French Camp, CA 95231 Phone: 209-953-6400 Fax: 209-468-7162 | |
San Joaquin County Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Hospital Rd Ste A, French Camp, CA 95231 Phone: 209-468-6820 |