Organization Active NPI

San Joaquin County Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manteca, CA
National Provider Identifier
1093153652
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
P36616 Issued in CA
Legal business name
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH
Practice address
526 Lehr PL
Manteca, CA 95336-3762
Phone
(209) 275-7196
NPI assigned
Jun 5, 2013
Last updated
Jun 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Mrs. Lisa C. Ramirez
Title
Psychiatric Technician
Phone
(209) 275-7196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X P36616 CA Primary

Addresses

Primary practice location

526 Lehr PL
Manteca, CA 95336-3762

Mailing address

526 Lehr PL
Manteca, CA 95336-3762
Phone (209) 275-7196

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1093153652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 LEHR PL",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363762",
            "telephone_number": "209-275-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 LEHR PL",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363762",
            "telephone_number": "209-275-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN COUNTY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PSYCHIATRIC TECHNICIAN",
        "authorized_official_telephone_number": "209-275-7196",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "P36616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.