San Joaquin Kidney Clinic, Inc
NPI 1407897358 · Specialist · Stockton, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Joaquin Kidney Clinic, Inc is a Specialist organization in Stockton, CA (NPI 1407897358).
Provider details
- NPI number
- 1407897358
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- P. Sagireddy, Owner(209) 546-1868
- License
- A73135 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- San Joaquin Kidney Clinic, Inc
Additional practice locations (2)
- 801 S Ham Ln Ste JLodi, CA 95242-7502Phone: (209) 546-1868Fax: (209) 461-6505
- 1530 Bessie Ave Ste 107Tracy, CA 95376-3080Phone: (209) 546-1868Fax: (209) 461-6505
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2025-01-29
- Certified
- 2025-01-29
Frequently asked questions
- What is San Joaquin Kidney Clinic, Inc's NPI number?
- San Joaquin Kidney Clinic, Inc's National Provider Identifier (NPI) is 1407897358, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Joaquin Kidney Clinic, Inc?
- San Joaquin Kidney Clinic, Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is San Joaquin Kidney Clinic, Inc located?
- San Joaquin Kidney Clinic, Inc's practice location on file with NPPES is 1801 E March Ln # B-265, Stockton, CA 95210-6629.
- What is San Joaquin Kidney Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for San Joaquin Kidney Clinic, Inc is (209) 546-1868.
- Does San Joaquin Kidney Clinic, Inc accept Medicare?
- San Joaquin Kidney Clinic, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for San Joaquin Kidney Clinic, Inc?
- The authorized official listed on San Joaquin Kidney Clinic, Inc's NPPES record is P. Sagireddy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Joaquin Kidney Clinic, Inc's NPI active?
- Yes — San Joaquin Kidney Clinic, Inc's NPI (1407897358) is active in the NPPES registry as of the last update on 2025-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.