Individual provider Active NPI

Tai Rebel Zorea, MFTI

  • Case Manager/Care Coordinator
  • Stockton, CA
National Provider Identifier
1982725164
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
510 E Magnolia St Ste 100
Stockton, CA 95202-1850
Phone
(209) 938-0831
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

510 E Magnolia St Ste 100
Stockton, CA 95202-1850

Mailing address

4046 Pine Lake Cir
Stockton, CA 95219-2018
Phone (209) 603-9588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702000782 CA Practitioner - Marriage and Family Therapist 6103339163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53301CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin County Behavioral Health Services CurrentSince Apr 20, 2025 Accepting new patients
County of San Joaquin CurrentSince Apr 20, 2025 Accepting new patients
San Joaquin Behavioral Health Services Current Accepting new patients

Locations

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1982725164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4046 PINE LAKE CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192018",
            "telephone_number": "209-603-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E MAGNOLIA ST STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021850",
            "telephone_number": "209-938-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOREA",
        "first_name": "TAI",
        "middle_name": "REBEL",
        "name_prefix": "Mrs.",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.