NPIMap

Organization Active NPI

County of San Joaquin

  • Prison Health Clinic/Center
  • French Camp, CA
National Provider Identifier
1023853751
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
COUNTY OF SAN JOAQUIN
Practice address
7000 Michael Canlis Way
French Camp, CA 95231-9781
Phone
(209) 468-4487
Fax
(209) 468-4318
NPI assigned
Jun 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Lakisha Marie Holton, FNP-C
Title
Correctional Health Administrator
Phone
(209) 468-4487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

7000 Michael Canlis Way
French Camp, CA 95231-9781

Mailing address

7000 Michael Canlis Way
French Camp, CA 95231-9781
Phone (209) 468-4487

Other names 1

  • Correctional Healthcare Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Joaquin Gen Hospita94 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1023853751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 MICHAEL CANLIS WAY",
            "city": "FRENCH CAMP",
            "state": "CA",
            "postal_code": "952319781",
            "telephone_number": "209-468-4487",
            "fax_number": "209-468-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 MICHAEL CANLIS WAY",
            "city": "FRENCH CAMP",
            "state": "CA",
            "postal_code": "952319781",
            "telephone_number": "209-468-4487",
            "fax_number": "209-468-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN JOAQUIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CORRECTIONAL  HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "209-468-4487",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Correctional Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in French Camp, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.