OrganizationActive
Community Medical Centers, Inc.
NPI 1164586772 · Federally Qualified Health Center (FQHC) · Stockton, CA
Provider details
- NPI number
- 1164586772
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Kirkpatrick, Chief Executive Officer(209) 373-2833
- License
- 0300000561 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2640 E Lafayette St
Stockton, CA 95205-5713
Phone: (209) 933-7232
Fax: (209) 466-6527
Street-level locationGet directions
Mailing address
P. O. Box 779
Stockton, CA 95201-0779
Other names (DBA / former)
- Doing business as
- King Family Center Health Clinic
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.