NPIMap

Organization Active NPI

The Raft

  • Community/Behavioral Health Agency
  • Merced, CA
National Provider Identifier
1568584589
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
RIT0703051016 Issued in CA
Legal business name
THE RAFT
Practice address
808 W 16TH St
Merced, CA 95340-4600
Phone
(209) 381-6860
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jiemh Laoh Thung
Title
Aod Counselor-Intern
Phone
(209) 381-6860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X RIT0703051016 CA Primary

Addresses

Primary practice location

808 W 16TH St
Merced, CA 95340-4600

Mailing address

808 W 16TH St
Merced, CA 95340-4600
Phone (209) 381-6860

National Provider Directory

National Provider Directory
Tax ID family
Merced County Department of Alcohol and Drug Services45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

Locations

808 W 16th St
Merced, CA 95340
Phone (209) 381-6830

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568584589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W 16TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404600",
            "telephone_number": "209-381-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W 16TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404600",
            "telephone_number": "209-381-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RAFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THUNG",
        "authorized_official_first_name": "JIEMH",
        "authorized_official_middle_name": "LAOH",
        "authorized_official_title_or_position": "AOD COUNSELOR-INTERN",
        "authorized_official_telephone_number": "209-381-6860"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "RIT0703051016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.