Individual provider Active NPI

Seneca Oliver St. James

  • Counselor
  • Stockton, CA
National Provider Identifier
1194150276
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
4422 N Pershing Ave Ste D2
Stockton, CA 95207-6967
Phone
(209) 953-8843
Fax
(209) 953-8478
NPI assigned
Sep 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

4422 N Pershing Ave Ste D2
Stockton, CA 95207-6967

Mailing address

4422 N Pershing Ave Ste D2
Stockton, CA 95207-6967
Phone (209) 953-8843

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

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1194150276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 N PERSHING AVE STE D2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076967",
            "telephone_number": "209-953-8843",
            "fax_number": "209-953-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 N PERSHING AVE STE D2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076967",
            "telephone_number": "209-953-8843",
            "fax_number": "209-953-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JAMES",
        "first_name": "SENECA",
        "middle_name": "OLIVER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "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 Sep 9, 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.