Public Health Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

377440 Issued in CA

Legal business name

PUBLIC HEALTH SERVICES

Practice address

1601 E. Hazelton Ave.
Stockton, CA 95201-2009

Phone

(209) 468-3892

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Floreida Quiaoit

Title

Program Manager

Phone

(209) 468-3892

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1386059541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E. HAZELTON AVE.",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E. HAZELTON AVE.",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952012009",
            "telephone_number": "209-468-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "QUIAOIT",
        "authorized_official_first_name": "FLOREIDA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "209-468-3892"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "377440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Kaye Prunty, LCSW
• PSC Stockton Outpatient Surgery Center, LLC
• Jennifer Elizabeth Ptak
• Bernadette Lourdes Torres Pua, NP
• Public Health Lab, San Joaquin Co Pub HLTH SVS
• Gianna Puccinelli
• Gregory T Pulas, DPM
• Baltazar Pulido, LCSW
• David Roy Pulido, DDS
• Noah Pulido

• Case Management Agency in Stockton, CA
• Providers in Stockton, 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 Jun 26, 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.