NPIMap

Organization Active NPI

Northern California Youth Center

  • Case Management Agency
  • Stockton, CA
National Provider Identifier
1346667367
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
LCF 35788 Issued in CA
Legal business name
NORTHERN CALIFORNIA YOUTH CENTER
Practice address
7650 Newcastle Rd
Stockton, CA 95215-9663
Phone
(209) 463-9085
Fax
(209) 465-8627
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Dr. Robin Wong, D.O
Title
Chief of Physicians and Surgeons
Phone
(209) 944-6365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LCF 35788 CA Primary

Addresses

Primary practice location

7650 Newcastle Rd
Stockton, CA 95215-9663

Mailing address

PO Box 213004
Stockton, CA 95213-9004
Phone (209) 463-9085

Other names 1

  • NCYCC Other name

National Provider Directory

National Provider Directory
Tax ID family
Corrections and Rehabilitation-Headquarters42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

7650 Newcastle Rd
Stockton, CA 95215
Phone (209) 662-4858

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1346667367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213004",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952139004",
            "telephone_number": "209-463-9085",
            "fax_number": "209-465-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 NEWCASTLE RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952159663",
            "telephone_number": "209-463-9085",
            "fax_number": "209-465-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF OF PHYSICIANS AND SURGEONS",
        "authorized_official_telephone_number": "209-944-6365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "LCF 35788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCYCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 27, 2014; 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.