NPIMap

Organization Active NPI

Lily Pad Living Outreach

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Stockton, CA
National Provider Identifier
1225894058
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LILY PAD LIVING OUTREACH
Practice address
333 N San Joaquin St
Stockton, CA 95202-2954
Phone
(209) 683-9300
NPI assigned
Feb 28, 2024
Organization subpart
Yes
Parent organization
SELAH HOUSEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Mrs. Debra Lynne Sbragia, JD, SUDCC-IINPI 1447514948
Title
Executive Director
Phone
(209) 683-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

333 N San Joaquin St
Stockton, CA 95202-2954

Mailing address

PO Box 1289
Stockton, CA 95201-1289
Phone (209) 683-9300

Other practice location 1

548 E Park St
Stockton, CA 95202-2134
Phone (209) 683-9300

National Provider Directory

National Provider Directory
Part of
Lily Pad Living Outreach

Locations

548 E Park St
Stockton, CA 95202
Phone (209) 464-5519

333 N San Joaquin St
Stockton, CA 95202
Phone (209) 390-2743

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1225894058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952011289",
            "telephone_number": "209-683-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SAN JOAQUIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022954",
            "telephone_number": "209-683-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "548 E Park St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952022134",
            "country_code": "US",
            "telephone_number": "209-683-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LILY PAD LIVING OUTREACH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELAH HOUSE",
        "enumeration_date": "2024-02-28",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "SBRAGIA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-683-9300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "JD, SUDCC-II"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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 Nov 24, 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.

Verify at the official NPI Registry.