NPIMap

Organization Active NPI

Mary Magdalene Community Services

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1114243771
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARY MAGDALENE COMMUNITY SERVICES
Practice address
445 N San Joaquin St
Stockton, CA 95202-2003
Phone
(209) 888-4519
Fax
(209) 888-4536
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Ms. Geneva Bell-Sanford
Title
Ceo
Phone
(209) 888-4519

Specialties & licenses 1

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

Addresses

Primary practice location

445 N San Joaquin St
Stockton, CA 95202-2003

Mailing address

445 N San Joaquin St
Stockton, CA 95202-2003
Phone (209) 888-4519

National Provider Directory

National Provider Directory
Tax ID family
Mary Magdalene Community Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1114243771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N SAN JOAQUIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022003",
            "telephone_number": "209-888-4519",
            "fax_number": "209-888-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N SAN JOAQUIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022003",
            "telephone_number": "209-888-4519",
            "fax_number": "209-888-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MAGDALENE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "BELL-SANFORD",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-888-4519",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 7, 2010; 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.