NPIMap

Organization Active NPI

JBJC Inc

  • Physical Therapy Clinic/Center
  • Stockton, CA
National Provider Identifier
1861986887
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JBJC INC
Practice address
2488 N California St
Stockton, CA 95204-5508
Phone
(209) 463-5800
NPI assigned
Jun 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Stephanie A Arnett
Title
Credentialing Manager
Phone
(209) 915-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2488 N California St
Stockton, CA 95204-5508

Mailing address

534 E Pine St Ste a
Stockton, CA 95204-5536
Phone (209) 463-5800

Other names 1

  • Pine Street Physical & Occupational Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1073 E Shaw Ave
Fresno, CA 93710
Phone (559) 227-4440

525 S Fairmont Ave
Ste G
Lodi, CA 95240
Phone (209) 339-1032

10200 Trinity Pkwy
Ste 205
Stockton, CA 95219
Phone (209) 451-3920

534 E Pine St
Ste A
Stockton, CA 95204
Phone (209) 463-5800

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1861986887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 E PINE ST STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045536",
            "telephone_number": "209-463-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045508",
            "telephone_number": "209-463-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBJC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "ARNETT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "209-915-0355"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Street Physical & Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pine Street Physical & Occupational Therapy",
            "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 Jun 22, 2018; 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.