Old Oak Ranch Recovery

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

OLD OAK RANCH RECOVERY

Doing business as

The Refuge Recovery Center

Practice address

19401 Susan Way
Sonora, CA 95370-9266

Phone

(209) 588-6071

NPI assigned

Oct 14, 2020

Organization subpart

No

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

Authorized official

Name

Christopher H KhanNPI 1215638606

Title

President

Phone

(209) 588-6164

Specialties & licenses 5

Addresses

Other names 1

• The Refuge Recovery Center Doing business as

Locations

Practitioners 10

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

• Christopher H Khan, RAS II

  • Addiction (Substance Use Disorder) Counselor
  • Sonora, CA
  • NPI 1215638606
  NPD Authorized official
• Sarah Anne Balthrop

  • Respite Care
  • Sonora, CA
  • NPI 1235013483
  NPD
• Robert Charles Bunce, RADT

  • Peer Specialist
  • Sonora, CA
  • NPI 1275406605

  Substance Abuse Rehabilitation Facility

  NPD
• Derek Ray Helfrich, NONE

  • Substance Abuse Rehabilitation Facility
  • Sonora, CA
  • NPI 1881577724
  NPD
• Christine Jan Khan

  • Clinical Social Worker
  • San Andreas, CA
  • NPI 1700465523
  NPD
• Marilyn Jean Martino

  • Addiction (Substance Use Disorder) Counselor
  • Sonora, CA
  • NPI 1205719200

  Respite Care

  NPD
• Nissa Marie Navone, RADT, AA

  • Respite Care
  • Sonora, CA
  • NPI 1437041217
  NPD
• Genessa Luz Christian, RADT-1

  • School Social Worker
  • Sonora, CA
  • NPI 1265297170
  NPD (past)
• Stephanie Louise Foster, R1500630323

  • Addiction (Substance Use Disorder) Counselor
  • Sonora, CA
  • NPI 1710742234
  NPD (past)
• Jamie D Lloyd, CADC II

  • Addiction (Substance Use Disorder) Counselor
  • Sonora, CA
  • NPI 1073378592
  NPD (past)

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1871191569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 SUSAN WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709266",
            "telephone_number": "209-588-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 SUSAN WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709266",
            "telephone_number": "209-588-6071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20001 Highway 108",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953708422",
            "country_code": "US",
            "telephone_number": "209-588-7018",
            "fax_number": "209-396-3345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20298 Shaws Flat Rd",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "95370",
            "country_code": "US",
            "telephone_number": "209-588-6164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21757 El Oso Way",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953709654",
            "country_code": "US",
            "telephone_number": "209-588-7018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19110 Barron Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "95370",
            "country_code": "US",
            "telephone_number": "209-588-7018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22409 Yerba Santa Rd",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "95370",
            "country_code": "US",
            "telephone_number": "209-588-7018",
            "fax_number": "209-396-3345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19331 Susan Way",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953709209",
            "country_code": "US",
            "telephone_number": "209-588-7018",
            "fax_number": "209-396-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLD OAK RANCH RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-588-6164"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Refuge Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Refuge Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Louise Noonan, LMSW
• Airell Leighton Nygaard, M.D.
• Taylor R O'Connor
• Ian Robert O'Sullivan, MD, PHD
• Jester Mark Callejo Odrunia
• Jessica M Olsen
• Oncology Group Inc.
• Roy Opsahl, MD
• Kevin A. Orca, PHARM.D.
• Pamela Orebaugh, MSW

• Case Manager/Care Coordinator in Sonora, CA
• Providers in Sonora, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.