NPIMap

Organization Active NPI

Pacific Center for Addiction Services Inc.

  • Substance Abuse Rehabilitation Facility
  • Stockton, CA
National Provider Identifier
1811395288
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
390036AN Issued in CA
Legal business name
PACIFIC CENTER FOR ADDICTION SERVICES INC.
Practice address
808 N Center St
Stockton, CA 95202-1610
Phone
(209) 227-7467
Fax
(209) 932-9694
NPI assigned
Dec 16, 2014
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Mr. George Robert Feicht, MPA
Title
Ceo
Phone
(209) 887-3069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 390036AN CA Primary

Addresses

Primary practice location

808 N Center St
Stockton, CA 95202-1610

Mailing address

PO Box 8372
Stockton, CA 95208-0372
Phone (209) 227-7467

Other identifiers 1

IdentifierTypeStateIssuer
390036ANOtherCADEPARTMENT OF HEALTH CARE SERVICES- AOD COUNSELING SERVICES

National Provider Directory

National Provider Directory

Locations

808 N Center St
Stockton, CA 95202
Phone (209) 227-7467

Practitioners & affiliated clinicians

Practitioners 3

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": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1811395288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8372",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952080372",
            "telephone_number": "209-227-7467",
            "fax_number": "209-932-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N CENTER ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021610",
            "telephone_number": "209-227-7467",
            "fax_number": "209-932-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CENTER FOR ADDICTION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "FEICHT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-887-3069",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "390036AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH CARE SERVICES- AOD COUNSELING SERVICES",
            "identifier": "390036AN",
            "state": "CA"
        }
    ],
    "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 Dec 16, 2014; 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.