Organization Active NPI

Bridges of Hope California

Doing business as Bridges of Hope CA

  • Rehabilitation Counselor
  • Stockton, CA
National Provider Identifier
1861212284
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Legal business name
BRIDGES OF HOPE CALIFORNIA
Doing business as
Bridges of Hope CA
Practice address
211 Dorris PL
Stockton, CA 95204-5252
Phone
(209) 990-8733
NPI assigned
Oct 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Ms. Geneva MooradNPI 1144038688
Title
Founder / Owner
Phone
(209) 990-8733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Rehabilitation CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 225C00000X Primary
Local Education Agency (LEA) 251300000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
PACE Provider Organization 251T00000X
Health Maintenance Organization 302R00000X

Addresses

Primary practice location

211 Dorris PL
Stockton, CA 95204-5252

Mailing address

211 Dorris PL
Stockton, CA 95204-5252
Phone (209) 990-8733

Other names 1

  • Bridges of Hope CA Doing business as

National Provider Directory

National Provider Directory

Locations

211 Dorris Pl
Stockton, CA 95204
Phone (209) 990-8733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1861212284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 DORRIS PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045252",
            "telephone_number": "209-990-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 DORRIS PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045252",
            "telephone_number": "209-990-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES OF HOPE CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "MOORAD",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_title_or_position": "FOUNDER / OWNER",
        "authorized_official_telephone_number": "209-990-8733",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridges of Hope CA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2024; 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.