Lutheran Social Services of Northern California

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA

Practice address

4550 N Pershing Ave Ste 120
Stockton, CA 95207-6737

Phone

(916) 900-6140

NPI assigned

Mar 16, 2022

Organization subpart

Yes

Parent organization

LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mixtlicoatl R Gonzalez

Title

Data Systems Manager

Phone

(916) 900-0614

Specialties & licenses 2

Addresses

Tax ID family

Lutheran Social Service4 organizations share this tax ID, including this one

Part of

Lutheran Social Service

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Lutheran Social Services of Northern California

  • Case Management Agency
  • Sacramento, CA
  • NPI 1245462969
  NPD tax ID
• Lutheran Social Services of Northern California

  • Case Management Agency
  • Redding, CA
  • NPI 1619601143
  NPD tax ID
• Stonegate Luthern Social Services

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
  • NPI 1033442488
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1023766185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 47TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243700",
            "telephone_number": "916-900-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 N PERSHING AVE STE 120",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076737",
            "telephone_number": "916-900-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MIXTLICOATL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DATA SYSTEMS MANAGER",
        "authorized_official_telephone_number": "916-900-0614"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lupian
• Vanessa Aileen Luque
• Tamzin Lurlay
• Meghan Nicole Lusk, B.A.
• Shaun Marvin Luther, PMHNP-BC
• Elisabeth Rose Lutje
• San Vinh Luu, BA
• Thuc H Luu, DMD
• Luxottica of America Inc.
• Luxottica of America Inc.

• Case Management Agency in Stockton, CA
• Providers in Stockton, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.