Genessa Luz Christian, RADT-1

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

22409 Yerba Santa Dr
Sonora, CA 95370

Phone

(209) 770-2053

NPI assigned

Feb 20, 2024

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Old Oak Ranch Recovery

  dba The Refuge Recovery Center

  • Case Manager/Care Coordinator
  • Sonora, CA
  • NPI 1871191569
  NPD (past)

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1265297170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22409 YERBA SANTA DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "95370",
            "telephone_number": "209-770-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22409 YERBA SANTA DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "95370",
            "telephone_number": "209-770-2053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19331 Susan Way",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953709209",
            "country_code": "US",
            "telephone_number": "209-588-6071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19401 Susan Way, Sonora, CA, USA",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953709537",
            "country_code": "US",
            "telephone_number": "209-588-6164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20001 CA State Hwy 108",
            "address_purpose": "LOCATION",
            "city": "sonora",
            "state": "CA",
            "postal_code": "95370",
            "country_code": "US",
            "telephone_number": "209-588-7018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "GENESSA",
        "middle_name": "LUZ",
        "credential": "RADT-1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles G Cox MD Medical Corporation (Sierra Gastroenterology Consultants)
• Cicely Chen, M.D.
• Cheryl Peterson Marriage and Family Therapy PC
• Suneeta J. Chhugani, MD
• Todd William Christensen, M.D.
• Jacquelyn Rose Cituk, PHARMD, RPH
• Blake H Cleveland, M.D.
• David Paul Cline
• Edward William Clinite, D.O.
• Elizabeth H Coe

• School Social Worker in Sonora, CA
• Providers in Sonora, CA by specialty
• School Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.