Fathers & Families of San Joaquin

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1700115721 Issued in CA

Legal business name

FATHERS & FAMILIES OF SAN JOAQUIN

Practice address

338 E Market St
Stockton, CA 95202-3210

Phone

(209) 941-0701

Fax

(209) 941-0784

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Nunez

Title

Executive Director

Phone

(209) 941-0701

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Krystle Abalos

  • Mental Health Counselor
  • Stockton, CA
  • NPI 1356885420
  NPD (past)

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1598200263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 E MARKET ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952023210",
            "telephone_number": "209-941-0701",
            "fax_number": "209-941-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 E MARKET ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952023210",
            "telephone_number": "209-941-0701",
            "fax_number": "209-941-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHERS & FAMILIES OF SAN JOAQUIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-941-0701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1700115721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Collette Farnsworth, PH.D.
• Anisa Wajiba Farooqi
• Yeva Farr
• Sarah R Fata
• Tarek Fatahi
• Unknown Fatima
• Mercy Maria Fausto, MA. LMFT
• Angelina Fawal
• Zohal Fazel, PHARMD
• Latasia Feagin

• 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 Jan 4, 2017; 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.