| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1770512030 | BASS | JASON | T | PO BOX 1020 | STOCKTON | CA | 952013120 | |
| 1629021662 | KETHINENI | NEELIMA | PO BOX 1020 | STOCKTON | CA | 952013120 | ||
| 1194734103 | LIM | LOUIS | PO BOX 1020 | STOCKTON | CA | 952013120 |