Active NPI
Geraldine Cruz Ceballos, MS
- Professional Counselor
- Manteca, CA
National Provider Identifier
1699259937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 21477
- Practice address
- 401 S Airport Way
Manteca, CA 95337-8426 - Phone
- (209) 456-5805
- NPI assigned
- Sep 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 21477 | CA | Primary |
| Behavior Analyst | 103K00000X | |||
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
401 S Airport Way
Manteca, CA 95337-8426
Mailing address
401 S Airport Way
Manteca, CA 95337-8426
Phone (209) 456-5805
Other practice location 1
1904 Richland Ave
Ceres, CA 95307-4562
Phone (209) 308-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21477 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769299200000",
"number": "1699259937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S AIRPORT WAY",
"city": "MANTECA",
"state": "CA",
"postal_code": "953378426",
"telephone_number": "209-456-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S AIRPORT WAY",
"city": "MANTECA",
"state": "CA",
"postal_code": "953378426",
"telephone_number": "209-456-5805"
}
],
"practiceLocations": [
{
"address_1": "1904 Richland Ave",
"address_purpose": "LOCATION",
"city": "Ceres",
"state": "CA",
"postal_code": "953074562",
"country_code": "US",
"telephone_number": "209-308-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CEBALLOS",
"first_name": "GERALDINE",
"middle_name": "CRUZ",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-22",
"last_updated": "2026-01-25",
"certification_date": "2026-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "21477",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manteca, CA
- Lisa K Castaneda, MFT
- Michael S Castillo, P.T.
- Carmen Maria Castro
- Mariah J Castro, AMFT, APCC
- Chanai Catarich, CD,PCD
- Center for Sight of Stockton a Medical Corporation (Philip Edington, MD)
- Center St LLC
- Central Valley Cardiovascular Associates Inc
- Central Valley Eye Medical Group Inc.
- Central Valley Imaging Medical Assoc, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.