Active NPI
Stanislaus County
- Community/Behavioral Health Agency
- Oakdale, CA
National Provider Identifier
1962534099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- STANISLAUS COUNTY
- Practice address
- 755 S Yosemite Ave
Oakdale, CA 95361-4094 - Phone
- (209) 847-5927
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Denise C Hunt, RN, MFT
- Title
- Behavioral Health Director
- Phone
- (209) 525-6225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
755 S Yosemite Ave
Oakdale, CA 95361-4094
Mailing address
800 Scenic Dr
Modesto, CA 95350-6131
Phone (209) 525-7423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5009 | Medicaid | CA |
Other names 1
- EASTSIDE REGIONAL SERVICES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000935 | CA | Part B Supplier - Clinic/Group Practice | 0648183996 |
Receives reassigned benefits from 24 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ceres, CA; Modesto, CA; Turlock, CA |
Other NPIs on the same Medicare enrollment 14
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1457480642
O20031111000935
National Provider Directory
National Provider DirectoryLocations
755 S Yosemite Ave
Oakdale, CA 95361
Phone (209) 847-5927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962534099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SCENIC DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953506131",
"telephone_number": "209-525-7423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 S YOSEMITE AVE",
"city": "OAKDALE",
"state": "CA",
"postal_code": "953614094",
"telephone_number": "209-847-5927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANISLAUS COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HUNT",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
"authorized_official_telephone_number": "209-525-6225",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN, MFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5009",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EASTSIDE REGIONAL SERVICES",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Oakdale, CA
- Sierra Vista Child & Family Services
- Ashley Kristine Smerdon
- Treven J Sorensen, PHARMD
- Sound Physicians Emergency Medicine of Southern California, P.C.
- Ronald August Spolar, B.S.
- Jenifer Stone, MASSAGE THERAPIST
- Rebekah Stout, FNP-C
- Shayne Strasser, PHARM.D.
- Suzanne Streater, MFT
- Tae Een Park,D.D.S.,Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.