NPIMap

Organization Active NPI

Stetson Court Living

  • Assisted Living Facility
  • Stockton, CA
National Provider Identifier
1700337409
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
397005195 Issued in CA
Legal business name
STETSON COURT LIVING
Practice address
3913 Stetson CT
Stockton, CA 95206-6089
Phone
(209) 910-9138
Fax
(877) 683-4513
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Mr. Albert A Gaoiran
Title
President
Phone
(408) 876-9445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 397005195 CA Primary

Addresses

Primary practice location

3913 Stetson CT
Stockton, CA 95206-6089

Mailing address

3913 Stetson CT
Stockton, CA 95206-6089
Phone (209) 910-9138

National Provider Directory

National Provider Directory
Tax ID family
Stetson Court Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1700337409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 STETSON CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066089",
            "telephone_number": "209-910-9138",
            "fax_number": "877-683-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 STETSON CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066089",
            "telephone_number": "209-910-9138",
            "fax_number": "877-683-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STETSON COURT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "GAOIRAN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-876-9445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "397005195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 18, 2016; 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.