Individual provider Active NPI

Juanita Gipaya

  • Marriage & Family Therapist
  • Stockton, CA
National Provider Identifier
1235500042
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 87364 Issued in CA
Practice address
1151 W Robinhood Dr Ste C6
Stockton, CA 95207-5628
Phone
(209) 954-1311
Fax
(209) 951-7083
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 87364 CA Primary

Addresses

Primary practice location

1151 W Robinhood Dr Ste C6
Stockton, CA 95207-5628

Mailing address

1151 W Robinhood Dr Ste C6
Stockton, CA 95207-5628
Phone (209) 954-1311

Other practice location 1

2495 W March Ln
Stockton, CA 95207-8251
Phone (209) 465-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001000953 CA Practitioner - Marriage and Family Therapist 3072044106 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF 87364CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince May 1, 2025 Accepting new patients
San Joaquin Behavioral Health Services Marriage & Family Therapist Current Accepting new patients
County of San Joaquin CurrentSince Jul 22, 2024 Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince Jul 22, 2024 Accepting new patients
Practical Counseling and Educational Services Past Accepting new patients
Daniel J. Offield, Marriage and Family Therapist, a Professional Corp Marriage & Family Therapist Past Accepting new patients

Locations

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235500042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 W ROBINHOOD DR STE C6",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075628",
            "telephone_number": "209-954-1311",
            "fax_number": "209-951-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 W ROBINHOOD DR STE C6",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075628",
            "telephone_number": "209-954-1311",
            "fax_number": "209-951-7083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2495 W March Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952078251",
            "country_code": "US",
            "telephone_number": "209-465-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIPAYA",
        "first_name": "JUANITA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 87364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.