CASA SAN JOAQUIN
NPI 1548658685
Community/Behavioral Health in Manteca, CA

NPI Status: Active since December 23, 2014

Contact Information

401 S AIRPORT WAY
MANTECA, CA
ZIP 95337
Phone: (209) 825-1350
Fax: (209) 825-3476

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  • Organization
  • Community/Behavioral Health

About CASA SAN JOAQUIN

This page provides the complete NPI Profile along with additional information for Casa San Joaquin, a provider established in Manteca, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1548658685 assigned on December 2014. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Casa San Joaquin. The authorized official of this NPI record is Nzinga Harrison Md (Cmo)

NPI
1548658685
Provider Legal Name
ANKA BEHAVIORAL HEALTH, INC.
Other Organization Name
CASA SAN JOAQUIN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
401 S AIRPORT WAY MANTECA, CA 95337
Location Phone
(209) 825-1350
Location Fax
(209) 825-3476
Mailing Address
3480 BUSKIRK AVE STE 300 PLEASANT HILL, CA 94523
Mailing Phone
(925) 825-4700
Mailing Fax
(209) 825-3476
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-23-2014
Last Update Date
07-03-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NZINGA HARRISON MD

Authorized Official Title
CMO
Authorized Official Phone
(925) 825-4700

Reviews for CASA SAN JOAQUIN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548658685
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
258812516616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 5 + 1 + 6 + 6 + 1 + 6 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1548658685 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841850211NATIONAL PSYCHIATRIC CARE AND REHABILITATION SERVICES
Organization
Psychiatric Residential Treatment Facility401 S AIRPORT WAY
MANTECA, CA 95337
(209) 825-1350
1184509010 AMRUTHA VARSHINI RAVI
Individual
Rehabilitation Practitioner401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5805
1205711173 DESIREE MOYA
Individual
Licensed Psychiatric Technician401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5801
1619852779 JASMINE NOCHES
Individual
Rehabilitation Practitioner401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5805
1639054810 JOSE ANDRES GALLEGOS
Individual
Counselor (Addiction (Substance Use Disorder))401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5801
1700761657 MANJOT KAUR
Individual
Licensed Vocational Nurse401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5801
1720963887 CEDRICK JAMES RAMILO
Individual
Rehabilitation Practitioner401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5801
1780569814 EKVINDER DHILLON
Individual
Licensed Vocational Nurse401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5805
1982589818 STEFFANIE HUBBARD
Individual
Rehabilitation Practitioner401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5801
1194600924 BRITTNEY FREDERICK
Individual
Rehabilitation Practitioner401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5801
1194601385 DELOSMILAGROS PLAZA DE LOZA LVN
Individual
Licensed Vocational Nurse401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5801
1225913932 LISA MONROE
Individual
Rehabilitation Practitioner401 S AIRPORT WAY
MANTECA, CA 95337
(209) 320-3529
1265317812 GURPREET KAUR
Individual
Rehabilitation Practitioner401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5801
1619574563 JASLEEN KUMAR
Individual
Licensed Vocational Nurse401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5801
1669358610 HALEY LISSETHE MONTIEL
Individual
Licensed Vocational Nurse401 S AIRPORT WAY
MANTECA, CA 95337
(209) 825-1350
1801772504 DENISE RAY
Individual
Rehabilitation Practitioner401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5801
1841175577 NATALIA GUADALUPE HERNANDEZ
Individual
Rehabilitation Practitioner401 S AIRPORT WAY
MANTECA, CA 95337
(209) 456-5801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548658685, enumerated in the NPI registry as an "organization" on December 23, 2014

The provider is located at 401 S Airport Way Manteca, Ca 95337 and the phone number is (209) 825-1350

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on December 23, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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