San Joaquin Laser Surgery Center
NPI 1639183486 · Ambulatory Surgical Clinic/Center · Stockton, CA
San Joaquin Laser Surgery Center is a Ambulatory Surgical Clinic/Center organization in Stockton, CA (NPI 1639183486).
Provider details
- NPI number
- 1639183486
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Philip Edington, Director(209) 948-5515
- License
- 30000469 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2020-08-22
Frequently asked questions
- What is San Joaquin Laser Surgery Center's NPI number?
- San Joaquin Laser Surgery Center's National Provider Identifier (NPI) is 1639183486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Joaquin Laser Surgery Center?
- San Joaquin Laser Surgery Center is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is San Joaquin Laser Surgery Center located?
- San Joaquin Laser Surgery Center's practice location on file with NPPES is 1805 N California St, Stockton, CA 95204-6037.
- What is San Joaquin Laser Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for San Joaquin Laser Surgery Center is (209) 948-3241.
- Who is the authorized official for San Joaquin Laser Surgery Center?
- The authorized official listed on San Joaquin Laser Surgery Center's NPPES record is Philip Edington, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Joaquin Laser Surgery Center's NPI active?
- Yes — San Joaquin Laser Surgery Center's NPI (1639183486) is active in the NPPES registry as of the last update on 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.