Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

PSC Stockton Outpatient Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1417405234

PSC Stockton Outpatient Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Stockton, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1805 N California St Ste 405
Stockton, CA 95204-6037
Phone: (209) 870-7100
Fax: (209) 870-7116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence A110013 (CA)

Record details

NPI number1417405234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Kludt — President · (209) 870-7100
NPI enumeratedSeptember 21, 2016
Last updated in NPPESSeptember 21, 2016
Mailing address1805 N California St, Suite 405, Stockton, CA 95204-6037

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