Family Promise of San Joaquin County

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FAMILY PROMISE OF SAN JOAQUIN COUNTY

Practice address

6148 Gettysburg PL
Stockton, CA 95207-4249

Phone

(209) 323-4384

NPI assigned

Dec 25, 2024

Organization subpart

No

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

Authorized official

Name

Jory Gwasdoff

Title

Executive Director

Phone

(209) 986-2895

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Eskridge

  • Social Worker
  • Stockton, CA
  • NPI 1568260792
  NPD

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

{
    "created_epoch": "1735084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735084800000",
    "number": "1386452175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6148 GETTYSBURG PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6148 GETTYSBURG PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074249",
            "telephone_number": "209-323-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PROMISE OF SAN JOAQUIN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-25",
        "last_updated": "2024-12-25",
        "certification_date": "2024-12-25",
        "status": "A",
        "authorized_official_last_name": "GWASDOFF",
        "authorized_official_first_name": "JORY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-986-2895"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Falley
• Mariah Falls
• Family Chiropractic Wellness Center Inc
• Family Legacy Therapy Professional Corporation
• Family Planning Associates Medical Group Inc
• Family Resource & Referral Center of San Joaquin
• Family Support Home Care LLC
• Famlinc Mobile Labs LLC
• Wei Fan, MD
• Julie Nuchi Fang

• 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 Dec 25, 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.