Little Manila Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LITTLE MANILA FOUNDATION

Doing business as

Little Manila Rising

Practice address

819 Houston Ave
Stockton, CA 95206-2864

Phone

(209) 213-8532

NPI assigned

Jan 26, 2024

Organization subpart

No

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

Authorized official

Name

Hannah Divino

Title

Holistic Health Director

Phone

(209) 487-2709

Specialties & licenses 3

Addresses

Other names 1

• Little Manila Rising Doing business as

Practitioners 2

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

• Hannah Rhea B Divino

  • Clinical Social Worker
  • San Ramon, CA
  • NPI 1437903788
  NPD
• Nicole Arutha Haddad

  • Marriage & Family Therapist
  • Stockton, CA
  • NPI 1477243962

  Community Health Worker

  NPD

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1538921390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 S SAN JOAQUIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952063254",
            "telephone_number": "209-214-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 HOUSTON AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062864",
            "telephone_number": "209-213-8532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2154 S San Joaquin St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952063254",
            "country_code": "US",
            "telephone_number": "209-214-8532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LITTLE MANILA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "DIVINO",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "HOLISTIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "209-487-2709"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Manila Rising",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Little Manila Rising",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leonard Lester Lippert Jr., CLINICIAN
• Liquidx Laboratory LLC
• Lisa Benninger Gildea, Rdhap, Inc.
• Genevieve Susan Lisenbey, MFTI
• Rachel Candace Litfin
• Christy Lynn Little
• Korbel L Little
• Lian Liu, NURSE PRACTITIONER
• Minghui Liu, MD, PHD
• Yi-Ling Liu, DO

• Community/Behavioral Health Agency in Stockton, CA
• Providers in Stockton, 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 Feb 26, 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.