United Cerebral Palsy of San Joaquin, Calaveras, Amador Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

UNITED CEREBRAL PALSY OF SAN JOAQUIN, CALAVERAS, AMADOR INC

Practice address

333 W Ben Holt Dr
Stockton, CA 95207-3906

Phone

(209) 751-3106

Fax

(209) 751-3125

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Debbie Link, BS OF OT

Title

Clinical & Family Services Director

Phone

(209) 751-3013

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659634814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W BEN HOLT DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073906",
            "telephone_number": "209-751-3106",
            "fax_number": "209-751-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W BEN HOLT DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073906",
            "telephone_number": "209-751-3106",
            "fax_number": "209-751-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF SAN JOAQUIN, CALAVERAS, AMADOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CLINICAL & FAMILY SERVICES DIRECTOR",
        "authorized_official_telephone_number": "209-751-3013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS OF OT"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mkponghojah Ukeme Umoren
• Rina Un
• Desirey Underwood
• Vincent Ung, DPT
• Unilab Corporation
• United Way of San Joaquin County
• United Way of San Joaquin County
• United Way of San Joaquin County Dba San Joaquin Pride Center
• University of the Pacific
• University of the Pacific

• All providers in Stockton, CA
• Developmentally Disabled Services Day Training Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.