NPIMap

Organization Active NPI

Corrections and Rehabilitation-Headquarters

Doing business as California Health Care Facility DeWitt E-YARD

  • Pharmacy
  • Stockton, CA
National Provider Identifier
1932735420
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Doing business as
California Health Care Facility DeWitt E-YARD
Practice address
7707 South Austin Road
Room 123
Stockton, CA 95215
Phone
(209) 467-2500
Fax
(209) 467-1595
NPI assigned
Mar 17, 2020
Organization subpart
Yes
Parent organization
CORRECTIONS AND REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Pierre Caesare Saucier James
Title
Staff Services Manager I
Phone
(510) 780-6997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

7707 South Austin Road
Room 123
Stockton, CA 95215

Mailing address

7707 South Austin Road
Room 123
Stockton, CA 95215
Phone (209) 467-2500

Other names 1

  • California Health Care Facility DeWitt E-YARD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Corrections and Rehabilitation-Headquarters42 organizations share this tax ID, including this one
Part of
Corrections and Rehabilitation-Headquarters

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

7707 Austin Rd
Rm 123
Stockton, CA 95215
Phone (209) 467-2500

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1932735420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 SOUTH AUSTIN ROAD",
            "address_2": "ROOM 123",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95215",
            "telephone_number": "209-467-2500",
            "fax_number": "209-467-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 SOUTH AUSTIN ROAD",
            "address_2": "ROOM 123",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95215",
            "telephone_number": "209-467-2500",
            "fax_number": "209-467-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONS AND REHABILITATION-HEADQUARTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORRECTIONS AND REHABILITATION",
        "enumeration_date": "2020-03-17",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "CAESARE SAUCIER",
        "authorized_official_title_or_position": "STAFF SERVICES MANAGER I",
        "authorized_official_telephone_number": "510-780-6997"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Health Care Facility DeWitt E-YARD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Health Care Facility DeWitt E-YARD",
            "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 Dec 4, 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.