NPIMap

Organization Active NPI

Anka Behavioral Health, Inc.

Doing business as Casa San Joaquin

  • Community/Behavioral Health Agency
  • Manteca, CA
National Provider Identifier
1548658685
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANKA BEHAVIORAL HEALTH, INC.
Doing business as
Casa San Joaquin
Practice address
401 S Airport Way
Manteca, CA 95337
Phone
(209) 825-1350
Fax
(209) 825-3476
NPI assigned
Dec 23, 2014
Last updated
Jul 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Nzinga Harrison, MD
Title
Cmo
Phone
(925) 825-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

401 S Airport Way
Manteca, CA 95337

Mailing address

3480 Buskirk Ave Ste 300
Pleasant Hill, CA 94523-4343
Phone (925) 825-4700

Other names 1

  • Casa San Joaquin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anka Behavioral Health51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1548658685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 BUSKIRK AVE STE 300",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234343",
            "telephone_number": "925-825-4700",
            "fax_number": "925-825-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S AIRPORT WAY",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "95337",
            "telephone_number": "209-825-1350",
            "fax_number": "209-825-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKA BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "NZINGA",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "925-825-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa San Joaquin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Casa San Joaquin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.