NPIMap

Organization Active NPI

San Joaquin County - Hsa - Acs

  • Case Management Agency
  • Stockton, CA
National Provider Identifier
1790080067
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SAN JOAQUIN COUNTY - HSA - ACS
Practice address
102 S San Joaquin St
Stockton, CA 95202-3213
Phone
(209) 465-8220
Fax
(209) 468-2207
NPI assigned
Jan 18, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Mr. Luis Alverez Mayorga
Title
Social Worker
Phone
(209) 468-1721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

102 S San Joaquin St
Stockton, CA 95202-3213

Mailing address

102 S San Joaquin St
Stockton, CA 95202-3213
Phone (209) 465-8220

Other names 1

  • Aging and Community Sevices Other name

National Provider Directory

National Provider Directory

Locations

102 S San Joaquin St
Stockton, CA 95202
Phone (209) 465-8220

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1790080067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S SAN JOAQUIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952023213",
            "telephone_number": "209-465-8220",
            "fax_number": "209-468-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S SAN JOAQUIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952023213",
            "telephone_number": "209-465-8220",
            "fax_number": "209-468-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN COUNTY - HSA - ACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "MAYORGA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ALVEREZ",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "209-468-1721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aging and Community Sevices",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 18, 2011; 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.