Community Re-Organization Program

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

COMMUNITY RE-ORGANIZATION PROGRAM

Practice address

3601 Pacific Ave
Stockton, CA 95211

Phone

(209) 346-3733

NPI assigned

Aug 19, 2010

Last updated

Aug 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cris ClayNPI 1508989849

Title

Director of CRP

Phone

(209) 946-3733

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cris Thomas Clay, MA

  • Mental Health Counselor
  • Stockton, CA
  • NPI 1508989849
  Authorized official Same address or phone

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1437465119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95211",
            "telephone_number": "209-346-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RE-ORGANIZATION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "CRIS",
        "authorized_official_title_or_position": "DIRECTOR OF CRP",
        "authorized_official_telephone_number": "209-946-3733"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Medical Centers, Inc.
• Community Medical Centers, Inc. (Channel Medical Center)
• Community Medical Team, Inc.
• Community Re-Entry Program
• Community Re-Entry Program
• Compliance360 LLC
• Sherri K Conant, MSW
• Marla Conboy
• Mitchel Concepcion
• Aileen Concha, PT

• Health Maintenance Organization in Stockton, CA
• Providers in Stockton, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.