NPIMap

Organization Active NPI

University of the Pacific

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1366870834
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UNIVERSITY OF THE PACIFIC
Practice address
405 E Pine St
Stockton, CA 95204-5522
Phone
(209) 946-2132
NPI assigned
Oct 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Holly White
Title
Executive Director
Phone
(209) 946-2132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

405 E Pine St
Stockton, CA 95204-5522

Mailing address

University of the Pacific
3601 Pacific Avenue
Stockton, CA 95211-0001

Other names 1

  • CBIS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of the Pacific Arthur a Dugoni School of Dentistry29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1366870834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF THE PACIFIC",
            "address_2": "3601 PACIFIC AVENUE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952110001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E PINE ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045522",
            "telephone_number": "209-946-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF THE PACIFIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-946-2132"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBIS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CBIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2019; 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.