Overcomers Foundation

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

OVERCOMERS FOUNDATION

Practice address

4051 Pine Lake Cir
Stockton, CA 95219-2018

Phone

(760) 217-5286

NPI assigned

Dec 2, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Christina Peraza

Title

Ceo

Phone

(760) 217-5286

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1598581985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 PINE LAKE CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192018",
            "telephone_number": "760-217-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 PINE LAKE CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192018",
            "telephone_number": "760-217-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERCOMERS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "PERAZA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-217-5286",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ingunn Kristjansdottir Oveny
• Nicolas Anthony Overby
• John B Overton, MD
• Amber Owens
• Eternity Owens
• Makayla Owens
• Nilda Owens

• Voluntary or Charitable Agency in Stockton, CA
• Providers in Stockton, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.