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

Angelina Kaisarieh, MD

Individual provider Family Medicine Physician · NPI 1477562486

Angelina Kaisarieh, MD is a Family Practice in Stockton, California. Qualified in 1992, 34 years ago. Practices with Axis Community Health Inc, a 39-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
34
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

123 S Commerce St Ste D
Stockton, CA 95202-2837
Phone: (209) 467-6825
Fax: (209) 467-6827
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A78601 (CA)

Record details

NPI number1477562486
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 7, 2006
Last updated in NPPESFebruary 16, 2022
Certification dateFebruary 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Axis Community Health Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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