Young Men'S Christian Association of San Joaquin County

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF SAN JOAQUIN COUNTY

Practice address

2105 W March LN
Ste. 1
Stockton, CA 95207-6422

Phone

(209) 472-9622

Fax

(209) 472-9625

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Ray Call

Title

Ceo

Phone

(209) 472-9622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1740738434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W MARCH LN",
            "address_2": "STE. 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076422",
            "telephone_number": "209-472-9622",
            "fax_number": "209-472-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 W MARCH LN",
            "address_2": "STE. 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076422",
            "telephone_number": "209-472-9622",
            "fax_number": "209-472-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF SAN JOAQUIN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-472-9622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Yasuo Yoshimura I, PA-C
• Barbara A. Yost-Knox, MD
• Jenine Swan Yost, DPT
• Vichra You
• Suhame Adam Youanis
• Deanna Young
• Edward Y. Young, DDS
• Hannah Young
• Howard Gon Chew Young, MD
• Katherine Y. Young, DPM

• Health Educator in Stockton, CA
• Providers in Stockton, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.