Housing Authority of the County of San Joaquin

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

HOUSING AUTHORITY OF THE COUNTY OF SAN JOAQUIN

Practice address

2575 Grand Canal Blvd Ste 100
Stockton, CA 95207-8260

Phone

(209) 460-5003

Fax

(209) 460-5103

NPI assigned

Nov 12, 2021

Organization subpart

No

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

Authorized official

Name

Peter W. Ragsdale

Title

Executive Director

Phone

(209) 460-5065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1629734785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 GRAND CANAL BLVD STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078260",
            "telephone_number": "209-460-5003",
            "fax_number": "209-460-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 GRAND CANAL BLVD STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078260",
            "telephone_number": "209-460-5003",
            "fax_number": "209-460-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSING AUTHORITY OF THE COUNTY OF SAN JOAQUIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "RAGSDALE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-460-5065"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sina Hosseinian, MD
• Suresh Babu Hosuru, M.D.,
• Tracy La'Shone House
• Kimberly Diahann Houser, SUDRC, 13976 CADTP
• Said Houseyni, MD
• Housing Heroes
• Izayah Houston
• Charlotte Marie Howard-Gibbon
• Brandy Howard
• Cambria L Howard

• Supports Brokerage Agency in Stockton, CA
• Providers in Stockton, CA by specialty
• Supports Brokerage Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.