NPIMap

Organization Active NPI

Lgbtq Collaborative

Doing business as CalPride

  • Community/Behavioral Health Agency
  • Modesto, CA
National Provider Identifier
1639965189
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LGBTQ COLLABORATIVE
Doing business as
CalPride
CalPride Sierras
CalPride Stanislaus1 more in Other names
Practice address
1202 H St Ste D
Modesto, CA 95354-2443
Phone
(209) 567-2662
NPI assigned
Apr 18, 2025
Last updated
Jan 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Mr. Roman Blake ScanlonNPI 1134078041
Title
Executive Director
Phone
(415) 216-1851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1202 H St Ste D
Modesto, CA 95354-2443

Mailing address

1202 H St Ste D
Modesto, CA 95354-2443
Phone (209) 567-2662

Other names 4

  • CalPride Doing business as
  • CalPride Sierras Doing business as
  • CalPride Stanislaus Doing business as
  • CalPride Valle Central Doing business as

National Provider Directory

National Provider Directory

Locations

1202 H St
Ste D
Modesto, CA 95354
Phone (209) 408-8848

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1639965189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 H ST STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542443",
            "telephone_number": "209-567-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 H ST STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542443",
            "telephone_number": "209-567-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGBTQ COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-216-1851",
        "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": "CalPride",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CalPride Sierras",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CalPride Stanislaus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CalPride Valle Central",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.