NPIMap

Organization Active NPI

Glom Substance Abuse Program

Doing business as Gods Love Outreach Ministries

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Merced, CA
National Provider Identifier
1477150787
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GLOM SUBSTANCE ABUSE PROGRAM
Doing business as
Gods Love Outreach Ministries
Practice address
1020 W Main St
Merced, CA 95340-4521
Phone
(925) 570-3282
Fax
(925) 800-3102
NPI assigned
Oct 8, 2020
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Allen Turner, DR
Title
Ceo
Phone
(925) 334-7136

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1020 W Main St
Merced, CA 95340-4521

Mailing address

3123 Independence Dr
Livermore, CA 94551-7595
Phone (925) 334-7136

Other practice location 1

1111 W Tokay St Ste A
Lodi, CA 95240-3965
Phone (925) 334-7136

Other practice location 2

130 W Flora St
Stockton, CA 95202-1636
Phone (925) 570-3282

Other identifiers 1

IdentifierTypeStateIssuer
C2630352OtherCAMEDI-CAL

Other names 2

  • GODS LOVE OUTREACH MINISTRIES Doing business as
  • G.L.O.M. OUTPATIENT SERVICES INC. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603002624 CA Part B Supplier - Clinic/Group Practice 1254873524 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Galt, CA; Stockton, CA; Merced, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Glom Substance Abuse Program10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1477150787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 INDEPENDENCE DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517595",
            "telephone_number": "925-334-7136",
            "fax_number": "209-395-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404521",
            "telephone_number": "925-570-3282",
            "fax_number": "925-800-3102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Tokay St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952403965",
            "country_code": "US",
            "telephone_number": "925-334-7136",
            "fax_number": "209-395-2822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Flora St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952021636",
            "country_code": "US",
            "telephone_number": "925-570-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLOM SUBSTANCE ABUSE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-334-7136",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "C2630352",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GODS LOVE OUTREACH MINISTRIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "G.L.O.M. OUTPATIENT SERVICES INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.