NPIMap

Organization Active NPI

San Joaquin County Behavioral Health

  • Community Health Worker
  • Stockton, CA
National Provider Identifier
1184405748
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH
Practice address
1212 S California St
Stockton, CA 95206-1429
Phone
(209) 221-5624
NPI assigned
Oct 10, 2023
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Stephanie B Gaston
Title
Mental Health Specialist II
Phone
(209) 221-5624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

1212 S California St
Stockton, CA 95206-1429

Mailing address

1212 S California St
Stockton, CA 95206-1429

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1184405748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952061429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952061429",
            "telephone_number": "209-221-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN COUNTY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MENTAL HEALTH SPECIALIST II",
        "authorized_official_telephone_number": "209-221-5624"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "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 Jan 4, 2024; 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.