Individual provider Active NPI

Kathryn A Langham, MD

  • Psychiatry Physician
  • Manteca, CA
National Provider Identifier
1598925901
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A112928 Issued in CA
Practice address
302 Cherry LN
Manteca, CA 95337-4311
Phone
(209) 647-6200
NPI assigned
Jun 10, 2008
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A112928 CA Primary

Addresses

Primary practice location

302 Cherry LN
Manteca, CA 95337-4311

Mailing address

1966 Tice Valley Blvd # 267
Walnut Creek, CA 94595-2203
Phone (510) 205-7516

Other practice location 1

1680 W Shaw Ave Ste 100
Fresno, CA 93711-3504
Phone (559) 978-6572

Other practice location 2

2495 W March Ln
Stockton, CA 95207-8251
Phone (209) 647-6200

Other practice location 3

97 E Brokaw Rd Ste 150
San Jose, CA 95112-4221
Phone (408) 726-1849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151106001426 CA Practitioner - Psychiatry 8527378322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
112928CAMDClinical Social Worker
A112928CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Behavioral Health Services CurrentSince Aug 7, 2024 Accepting new patients
County of San Joaquin CurrentSince Aug 7, 2024 Accepting new patients
Victor Community Support Services, Inc. PastSince Oct 1, 2025 Accepting new patients
Victor Community Support Services, Inc. PastSince Jul 1, 2025 Accepting new patients

Locations

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1598925901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 TICE VALLEY BLVD # 267",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952203",
            "telephone_number": "510-205-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CHERRY LN",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374311",
            "telephone_number": "209-647-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 W Shaw Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113504",
            "country_code": "US",
            "telephone_number": "559-978-6572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2495 W March Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952078251",
            "country_code": "US",
            "telephone_number": "209-647-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 E Brokaw Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951124221",
            "country_code": "US",
            "telephone_number": "408-726-1849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGHAM",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A112928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.