Wildhorse

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILDHORSE

Practice address

18015 Bollinger Canyon Road
Las Trampas Stables
San Ramon, CA 94583-1501

Phone

(510) 860-8188

NPI assigned

Mar 31, 2010

Last updated

Mar 31, 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

Dr. Kari Ann Owen, PH.D.

Title

Program Director

Phone

(510) 860-8188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1518282763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40757 ONDINA PL",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393725",
            "telephone_number": "510-860-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18015 BOLLINGER CANYON ROAD",
            "address_2": "LAS TRAMPAS STABLES",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831501",
            "telephone_number": "510-860-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDHORSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "KARI ANN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "510-860-8188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sanja Kordich White
• Seaira White
• Whole Life Family Therapy Inc
• Melanie Wilhite
• Harold Washington Wilkie Jr., MD
• Christopher Shean Wilkins, PA-C
• Emily Willett
• William Stewart, D.P.M. (San Ramon Valley Podiatry Group)

• Community/Behavioral Health Agency in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.