Active NPI
County of Stanislaus
- Community/Behavioral Health Agency
- Ceres, CA
National Provider Identifier
1144004672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COUNTY OF STANISLAUS
- Practice address
- 1904 Richland Ave # C-2
Ceres, CA 95307-4562 - Phone
- (209) 525-6225
- NPI assigned
- Aug 24, 2023
- Organization subpart
- Yes
- Parent organization
- COUNTY OF STANISLAUS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruben Imperial, MBA
- Title
- Behavioral Health Director
- Phone
- (209) 525-6225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1904 Richland Ave # C-2
Ceres, CA 95307-4562
Mailing address
1601 I St., Ste. 200, 2ND FL.
Modesto, CA 95354-1110
Phone (209) 525-6225
Other names 1
- Access, Crisis and Support Line
National Provider Directory
National Provider Directory- Tax ID family
- Scenic Medical Group
- Part of
- Scenic Medical Group
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1063244812
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1093843401
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1154193266
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1154524445
-
- Clinic/Center
- Modesto, CA
- NPI 1154527232
-
- State or Local Public Health Clinic/Center
- Modesto, CA
- NPI 1164745840
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1174651236
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1194398479
-
- Rural Health Clinic/Center
- Red Bluff, CA
- NPI 1043427388
-
- Community/Behavioral Health Agency
- Turlock, CA
- NPI 1053449454
-
- Community/Behavioral Health Agency
- Fremont, CA
- NPI 1083747505
-
- Community/Behavioral Health Agency
- San Leandro, CA
- NPI 1104958198
Locations
1904 Richland Ave
#C2
Ceres, CA 95307
Phone (209) 525-5079
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Companion
- Ceres, CA
- NPI 1952966178
-
- Professional Counselor
- Ceres, CA
- NPI 1376391409
-
- Adult Companion
- Ceres, CA
- NPI 1891296968
-
- Mental Health Counselor
- Ceres, CA
- NPI 1972806776
-
- Adult Companion
- Ceres, CA
- NPI 1154890077
-
- Adult Companion
- Ceres, CA
- NPI 1710540240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778630400000",
"number": "1144004672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 I ST., STE. 200, 2ND FL.",
"city": "MODESTO",
"state": "CA",
"postal_code": "953541110",
"telephone_number": "209-525-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 RICHLAND AVE # C-2",
"city": "CERES",
"state": "CA",
"postal_code": "953074562",
"telephone_number": "209-525-6225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF STANISLAUS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF STANISLAUS",
"enumeration_date": "2023-08-24",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A",
"authorized_official_last_name": "IMPERIAL",
"authorized_official_first_name": "RUBEN",
"authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
"authorized_official_telephone_number": "209-525-6225",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Access, Crisis and Support Line",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.