OrganizationActive
St. Mary'S Dining Room
NPI 1063135762 · Voluntary or Charitable Agency · Stockton, CA
St. Mary'S Dining Room is a Voluntary or Charitable Agency organization in Stockton, CA (NPI 1063135762).
Provider details
- NPI number
- 1063135762
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Petra Linden, Chief Executive Officer(209) 467-0703
Specialties & taxonomies
Agencies
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
545 W Sonora St
Stockton, CA 95203-3329
Phone: (209) 467-0703
Street-level locationGet directions
Mailing address
545 W Sonora St
Stockton, CA 95203-3329
Registry dates
- Enumerated
- 2022-09-19
- Last updated
- 2022-09-19
- Certified
- 2022-09-19
Frequently asked questions
- What is St. Mary'S Dining Room's NPI number?
- St. Mary'S Dining Room's National Provider Identifier (NPI) is 1063135762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Mary'S Dining Room?
- St. Mary'S Dining Room is classified in the NPPES registry as Voluntary or Charitable Agency (Agencies).
- Where is St. Mary'S Dining Room located?
- St. Mary'S Dining Room's practice location on file with NPPES is 545 W Sonora St, Stockton, CA 95203-3329.
- What is St. Mary'S Dining Room's phone number?
- The practice phone number listed in the NPPES registry for St. Mary'S Dining Room is (209) 467-0703.
- Who is the authorized official for St. Mary'S Dining Room?
- The authorized official listed on St. Mary'S Dining Room's NPPES record is Petra Linden, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Mary'S Dining Room's NPI active?
- Yes — St. Mary'S Dining Room's NPI (1063135762) is active in the NPPES registry as of the last update on 2022-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.