Senior Service Agency of San Joaquin County,Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SENIOR SERVICE AGENCY OF SAN JOAQUIN COUNTY,INC.

Doing business as

Seniors First

Practice address

224 S Sutter St
Stockton, CA 95203-3541

Phone

(209) 644-5000

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Lawrence

Title

Exective Director

Phone

(209) 644-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SENIORS FIRST Doing business as

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699866277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S SUTTER ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952033541",
            "telephone_number": "209-644-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S SUTTER ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952033541",
            "telephone_number": "209-644-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SERVICE AGENCY OF SAN JOAQUIN COUNTY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-644-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70078G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENIORS FIRST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith Sendon
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• Kimberly Seng
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• Adult Day Care Clinic/Center in Stockton, CA
• Providers in Stockton, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.