Circle C Ranch Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

CIRCLE C RANCH INC

Practice address

342 Best Rd
Stockton, CA 95215-9711

Phone

(916) 295-8582

NPI assigned

Sep 27, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Raynisha McDonald

Title

Administrator

Phone

(916) 295-8582

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Devyn McDonald Sr., MS

  • Counselor
  • Stockton, CA
  • NPI 1235846031
  NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1952072019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 BEST RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952159711",
            "telephone_number": "916-295-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 BEST RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952159711",
            "telephone_number": "916-295-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE C RANCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "RAYNISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-295-8582",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY",
            "identifier": "1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Chung
• Kevin Austin Churchill
• Yesenia Cihuacoatl, RD
• Giovanni Cilibrasi
• Elsa Cintora
• Mauricio Erik Cisneros
• Maya Galilea Cisneros
• Citizens Medical Response, LLC
• City of Stockton, Office of Violence Prevention
• City Transit LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Stockton, CA
• Providers in Stockton, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.