St. Mary's Dining Room
NPI 1063135762ActiveOrganization· Voluntary or Charitable· Stockton, CA
Voluntary or Charitable in Stockton, California, registered in NPPES in September 2022. The authorized official on file is Petra Linden, Chief Executive Officer.
Overview
| NPI | 1063135762 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2022 |
| Last updated in NPPES | Sep 19, 2022 |
| Certified by provider | Sep 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Voluntary or Charitable Primary | 251V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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