San Joaquin Laser and Surgery Center
NPI 1730112178 · Ambulatory Surgical Clinic/Center · Stockton, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Joaquin Laser and Surgery Center is a Ambulatory Surgical Clinic/Center organization in Stockton, CA (NPI 1730112178).
Provider details
- NPI number
- 1730112178
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janee Tavares, Adminstrator(209) 948-3241
- License
- 030000469 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
563 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 443 | $1,515 |
| Removal of Excessive Skin and Fat of Upper Eyelid15823 | 51 | $918 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 30 | $1,521 |
| Extracapsular Removal of Cataract With Insertion of Artificial Lens and Insertion of Drainage Device in Front Chamber of Eye66991 | 20 | $4,796 |
| Removal Or Relocation of Corneal Conjunctiva With Graft65426 | 19 | $1,257 |
Typical Medicare-allowed amounts for these services range $918–$4,796 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- San Joaquin Laser & Surgery Center
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Frequently asked questions
- What is San Joaquin Laser and Surgery Center's NPI number?
- San Joaquin Laser and Surgery Center's National Provider Identifier (NPI) is 1730112178, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Joaquin Laser and Surgery Center?
- San Joaquin Laser and Surgery Center is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is San Joaquin Laser and Surgery Center located?
- San Joaquin Laser and Surgery Center's practice location on file with NPPES is 1805 N California St Ste 101a, Stockton, CA 95204-6032.
- What is San Joaquin Laser and Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for San Joaquin Laser and Surgery Center is (209) 948-5515.
- Does San Joaquin Laser and Surgery Center accept Medicare?
- San Joaquin Laser and Surgery Center 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 Laser and Surgery Center?
- The authorized official listed on San Joaquin Laser and Surgery Center's NPPES record is Janee Tavares, Adminstrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Joaquin Laser and Surgery Center's NPI active?
- Yes — San Joaquin Laser and Surgery Center's NPI (1730112178) is active in the NPPES registry as of the last update on 2025-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.