Organization Active NPI

Lutheran Social Services of Northern California

  • Case Management Agency
  • Redding, CA
National Provider Identifier
1619601143
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA
Practice address
2400 Washington Ave Ste 120
Redding, CA 96001-2839
Phone
(916) 453-2900
NPI assigned
Jul 11, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Ms. Mixtlicoatl R Gonzalez
Title
Data System Manager
Phone
(916) 900-0614

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

2400 Washington Ave Ste 120
Redding, CA 96001-2839

Mailing address

4390 47TH Ave
Sacramento, CA 95824-3700
Phone (916) 900-6140

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgonzalez@lssnorcal.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Social Services of4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2400 Washington Ave
Ste 120
Redding, CA 96001
Phone (916) 453-2900

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1619601143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 47TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243700",
            "telephone_number": "916-900-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WASHINGTON AVE STE 120",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012839",
            "telephone_number": "916-453-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MIXTLICOATL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DATA SYSTEM MANAGER",
        "authorized_official_telephone_number": "916-900-0614",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgonzalez@lssnorcal.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2400 Washington Ave Ste 120",
            "city": "Redding",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960012839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.