NPIMap

Organization Active NPI

Port City Operating Company, LLC

Doing business as St. Joseph's Behavioral Health Center

  • Addiction (Substance Use Disorder) Counselor
  • Stockton, CA
National Provider Identifier
1679395990
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PORT CITY OPERATING COMPANY, LLC
Doing business as
St. Joseph's Behavioral Health Center
Practice address
510 E Magnolia St Ste 100
Stockton, CA 95202-1850
Phone
(209) 461-2054
NPI assigned
Oct 28, 2024
Organization subpart
Yes
Parent organization
DIGNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Andrea Nicole Ochoa
Title
Chief Financial Officer
Phone
(209) 467-6442

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

510 E Magnolia St Ste 100
Stockton, CA 95202-1850

Mailing address

510 E Magnolia St Ste 100
Stockton, CA 95202-1850
Phone (209) 461-2054

Other names 1

  • St. Joseph's Behavioral Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Port City Operating Company LLC4 organizations share this tax ID, including this one
Part of
Catholic Healthcare West

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1679395990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MAGNOLIA ST STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021850",
            "telephone_number": "209-461-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E MAGNOLIA ST STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021850",
            "telephone_number": "209-461-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY OPERATING COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "209-467-6442"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph's Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.