El Concilio

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EL CONCILIO

Practice address

445 N San Joaquin St
Stockton, CA 95202-2026

Phone

(209) 888-8334

NPI assigned

Dec 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Wilton Wielnega

Title

Manager

Phone

(209) 888-8334

Specialties & licenses 1

Addresses

Other names 1

• El Concilio Doing business as

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1609264878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N SAN JOAQUIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022026",
            "telephone_number": "209-888-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N SAN JOAQUIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022026",
            "telephone_number": "209-888-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CONCILIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "WIELNEGA",
        "authorized_official_first_name": "WILTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-888-8334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Concilio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley E Eisfeld, BCBA
• Olalekan Monsuru Ejalonibu
• Iniobong Edem Ekong, R.N.
• Tsola Bassey Ekpokai
• El Concilio
• El Concilio California
• El Concilio California
• El Concilio California
• El Concilio California
• El Dorado Dental

• 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 Dec 22, 2014; 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.