NPIMap

Organization Active NPI

Ever Well Health Systems, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Stockton, CA
National Provider Identifier
1962871848
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
397005571 Issued in CA
Legal business name
EVER WELL HEALTH SYSTEMS, LLC
Practice address
4951 E Eight Mile Rd
Stockton, CA 95212-9449
Phone
(209) 333-9731
Fax
(209) 333-9733
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Dr. Christopher Luis Zubiate, DHA, MSW
Title
President & Ceo
Phone
(805) 242-0135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 397005571 CA Primary

Addresses

Primary practice location

4951 E Eight Mile Rd
Stockton, CA 95212-9449

Mailing address

310 James Way Ste 250
Pismo Beach, CA 93449-2877
Phone (805) 242-0135

Other names 1

  • Enclave at the Delta Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Enclave at the Delta3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1962871848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 JAMES WAY STE 250",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492877",
            "telephone_number": "805-242-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 E EIGHT MILE RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952129449",
            "telephone_number": "209-333-9731",
            "fax_number": "209-333-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVER WELL HEALTH SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "ZUBIATE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "805-242-0135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA, MSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "397005571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enclave at the Delta",
            "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 Oct 15, 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.