San Joaquin Community Foundation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SAN JOAQUIN COMMUNITY FOUNDATION

Practice address

6731 Herndon PL
Stockton, CA 95219-3514

Phone

(209) 943-2375

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Nadeja Steager

Title

Hub Director

Phone

(209) 915-4144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1558055178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 HERNDON PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952193514",
            "telephone_number": "209-943-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 HERNDON PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952193514",
            "telephone_number": "209-943-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN COMMUNITY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "STEAGER",
        "authorized_official_first_name": "NADEJA",
        "authorized_official_title_or_position": "HUB DIRECTOR",
        "authorized_official_telephone_number": "209-915-4144"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel B Bockari
• San Joaquin AIDS Foundation
• San Joaquin Behavioral Health Services
• San Joaquin Behavioral Health Services
• San Joaquin Cardiology Medical Group Inc
• San Joaquin County
• San Joaquin County - Hsa - Acs
• San Joaquin County Behavioral Health
• San Joaquin County Behavioral Health
• San Joaquin County Behavioral Health Services

• In Home Supportive Care Agency in Stockton, CA
• Providers in Stockton, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.