Active NPI
Dina Lay
- Day Training/Habilitation Specialist
- Stockton, CA
National Provider Identifier
1104293505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 4545 Georgetown PL
Stockton, CA 95207-6215 - Phone
- (209) 200-7076
- NPI assigned
- Sep 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
4545 Georgetown PL
Stockton, CA 95207-6215
Mailing address
4545 Georgetown PL Ste A3
Stockton, CA 95207-6228
Phone (209) 986-6821
Other practice location 1
5634 Jeremy Way
Stockton, CA 95212-2867
Phone (209) 888-4969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Residential Treatment Facility
- Stockton, CA
- NPI 1497099915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1104293505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 GEORGETOWN PL STE A3",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076228",
"telephone_number": "209-986-6821",
"fax_number": "209-888-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 GEORGETOWN PL",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076215",
"telephone_number": "209-200-7076"
}
],
"practiceLocations": [
{
"address_1": "5634 Jeremy Way",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952122867",
"country_code": "US",
"telephone_number": "209-888-4969",
"fax_number": "209-888-5816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAY",
"first_name": "DINA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-01",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"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 Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.