NPIMap

Organization Active NPI

Stanislaus County

  • Community/Behavioral Health Agency
  • Turlock, CA
National Provider Identifier
1770616674
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STANISLAUS COUNTY
Practice address
101 Lander Ave
Turlock, CA 95380-5201
Phone
(209) 664-8199
NPI assigned
Mar 13, 2007
Last updated
Oct 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
STANISLAUS COUNTY BHRSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Ruben Imperial, MBA
Title
Behavioral Health Interim Director
Phone
(209) 525-6225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

101 Lander Ave
Turlock, CA 95380-5201

Mailing address

800 Scenic Dr
Modesto, CA 95350-6131
Phone (209) 525-6225

Other identifiers 1

IdentifierTypeStateIssuer
5095MedicaidCA

Other names 1

  • STANWORKS TURLOCK Other name

National Provider Directory

National Provider Directory
Tax ID family
Stanislaus Medical Cent113 organizations share this tax ID, including this one
Part of
Stanislaus Medical Cent

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

101 Lander Ave
Turlock, CA 95380
Phone (209) 664-8199

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1770616674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SCENIC DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506131",
            "telephone_number": "209-525-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LANDER AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953805201",
            "telephone_number": "209-664-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAUS COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STANISLAUS COUNTY BHRS",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "IMPERIAL",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH INTERIM DIRECTOR",
        "authorized_official_telephone_number": "209-525-6225",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5095",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STANWORKS TURLOCK",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "STANWORKS TURLOCK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.