NPIMap

Organization Active NPI

O'Connor Woods Housing Corp

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1033648084
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
O'CONNOR WOODS HOUSING CORP
Practice address
3400 Wagner Heights Rd
Stockton, CA 95209-4843
Phone
(209) 476-4036
Fax
(209) 476-4042
NPI assigned
Jun 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
O'CONNOR WOODS HOUSING CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Admira Masic, CPA
Title
Controller
Phone
(209) 956-3484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

3400 Wagner Heights Rd
Stockton, CA 95209-4843

Mailing address

3400 Wagner Heights Rd
Stockton, CA 95209
Phone (209) 476-4036

National Provider Directory

National Provider Directory
Tax ID family
O'Connor Woods Housing Corp2 organizations share this tax ID, including this one
Part of
O'Connor Woods Housing Corp

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033648084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 WAGNER HEIGHTS RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95209",
            "telephone_number": "209-476-4036",
            "fax_number": "209-476-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WAGNER HEIGHTS RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952094843",
            "telephone_number": "209-476-4036",
            "fax_number": "209-476-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'CONNOR WOODS HOUSING CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "O'CONNOR WOODS HOUSING CORP",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MASIC",
        "authorized_official_first_name": "ADMIRA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "209-956-3484",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.