NPIMap

Organization Active NPI

County of Stanislaus

Doing business as Sonoma School CCS MTU

  • Rehabilitation Clinic/Center
  • Modesto, CA
National Provider Identifier
1679642060
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
CCS00057F Issued in CA
Legal business name
COUNTY OF STANISLAUS
Doing business as
Sonoma School CCS MTU
Practice address
1325 Sonoma Ave
Modesto, CA 95355-3922
Phone
(209) 558-8118
Fax
(209) 558-8620
NPI assigned
Nov 7, 2006
Last updated
May 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Maryann Lee
Title
Managing Director, Health Services
Phone
(209) 558-7163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X CCS00057F CA Primary

Addresses

Primary practice location

1325 Sonoma Ave
Modesto, CA 95355-3922

Mailing address

PO Box 3088
Modesto, CA 95353-3088
Phone (209) 558-8118

Other names 1

  • Sonoma School CCS MTU Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stan Co Mentalhealth SV114 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1325 Sonoma Ave
Modesto, CA 95355
Phone (209) 380-8882

Practitioners & affiliated clinicians

Practitioners 1

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1679642060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3088",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953533088",
            "telephone_number": "209-558-8118",
            "fax_number": "209-558-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SONOMA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553922",
            "telephone_number": "209-558-8118",
            "fax_number": "209-558-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF STANISLAUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR, HEALTH SERVICES",
        "authorized_official_telephone_number": "209-558-7163"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "CCS00057F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoma School CCS MTU",
            "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 May 20, 2010; 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.