Lutheran Social Services of Northern California

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA

Practice address

2450 Alhambra Blvd Ste 101
Sacramento, CA 95817-1120

Phone

(916) 453-2900

Fax

(916) 454-2930

NPI assigned

Aug 13, 2009

Organization subpart

No

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

Authorized official

Name

Mixtlicoatl R Gonzalez

Title

Data Systems Manager

Phone

(916) 900-0614

Specialties & licenses 1

Addresses

Tax ID family

Lutheran Social Service4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Lutheran Social Services of Northern California

  • Case Management Agency
  • Stockton, CA
  • NPI 1023766185
  NPD tax ID
• Lutheran Social Services of Northern California

  • Case Management Agency
  • Redding, CA
  • NPI 1619601143
  NPD tax ID
• Stonegate Luthern Social Services

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
  • NPI 1033442488
  NPD tax ID

Locations

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1245462969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ALHAMBRA BLVD STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171120",
            "telephone_number": "916-453-2900",
            "fax_number": "916-454-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ALHAMBRA BLVD STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171120",
            "telephone_number": "916-453-2900",
            "fax_number": "916-454-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 N Pershing Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952076737",
            "country_code": "US",
            "telephone_number": "916-453-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MIXTLICOATL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DATA SYSTEMS MANAGER",
        "authorized_official_telephone_number": "916-900-0614"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lusk, RD, LDN
• Dulce Azucena Lustre
• Michael Henry Luszczak, D.O.
• John S. Lutch, MD
• Tracy Ann Lutche, FNP-BC
• Emily K Luttrell
• Tatyana Renee Luttrell
• Al Luu, NP
• Brent Q. Luu, PHARM.D.
• Cindy Luu

• Case Management Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.