MHSA-LA FAMILIA FSP NPI 1003002353
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stockton, CA
About MHSA-LA FAMILIA FSP
Mhsa-la Familia Fsp is a provider established in Stockton, California specializing in Clinic/center with a focus in mental health (including community mental health center) . The NPI number of Mhsa-la Familia Fsp is 1003002353 and was assigned on September 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Mhsa-la Familia Fsp. The authorized official of this NPI record is Tony Vartan Lcsw (Director Behavioral Health Services)
| NPI | 1003002353 |
| Provider Name | MHSA-LA FAMILIA FSP |
| Provider Location Address | 1212 N CALIFORNIA ST STOCKTON, CA 95202 |
| Provider Mailing Address | 1212 N CALIFORNIA ST STOCKTON, CA 95202 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | MHSA-LA FAMILIA FSP |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 09-20-2007 |
| Last Update Date | 03-10-2020 |
Primary Taxonomy
| Taxonomy Code | 261QM0801X |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| Specialization | Mental Health (Including Community Mental Health Center) |
| License State | CA |
Business Address
MHSA-LA FAMILIA FSP
1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-8778
Fax: (209) 462-2399
Mailing Address
MHSA-LA FAMILIA FSP
1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-8778
Fax: (209) 468-2399
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 9092 | MEDICAID (05) | CA |
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 2 | 3 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 4 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 4 + 3 + 1 + 0 + 24 = 37 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 37 = 3 | 3 | ||||||||
The NPI number 1003002353 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184732117 | DR. ADEGOKE ADEYEMO M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-8491 |
| 1932218849 | MALY XIONG MFT INTERN Individual | Marriage & Family Therapist | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-8082 |
| 1477687077 | MR. EDWARD WILLIAM OLPIN ACSW Individual | Social Worker (Clinical) | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-8880 |
| 1225152424 | MRS. LINDA RAMSAY OCLARAY MASTER OF ARTS Individual | Marriage & Family Therapist | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 953-7463 |
| 1306960331 | MRS. ANNALIZA LAGRUTTA MA Individual | Marriage & Family Therapist | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-8644 |
| 1780709014 | MR. GARY A. GRAY PT Individual | Counselor (Mental Health) | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-8700 |
| 1124143474 | MS. SHIRLEY ANN HOLLOWELL R.N. Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 953-1033 |
| 1699890921 | MR. RICHARD ANTHONY BENITEZ MHC I Individual | Marriage & Family Therapist | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-8700 |
| 1639294341 | PROF. REMEDIOS AGUADA WALLACE Individual | Licensed Psychiatric Technician | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-8842 |
| 1649396045 | MRS. CYNTHIA L MORISHIGE LCSW Individual | Social Worker (Clinical) | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-8643 |
| 1033235304 | MS. DEBRA L. GRINSTEAD R. N. Individual | Registered Nurse | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-8843 |
| 1235256207 | MR. JOHN D SCHAEFFER MFT Individual | Marriage & Family Therapist | 1212 N CALIFORNIA ST INPATIENT STOCKTON, CA 95202 (209) 468-8082 |
| 1811014780 | MS. SUSAN MARIE GRUBER MSW Individual | Social Worker | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-3760 |
| 1770601304 | MR. CHRISTOPHER EGONIO Individual | Case Manager/Care Coordinator | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-3760 |
| 1225156599 | MRS. GABRIELA GARCIA ELIZALDI MSW, ASW Individual | Social Worker | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-2385 |
| 1114044799 | MR. PAUL DAVID WALLACE Individual | Licensed Psychiatric Technician | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-3760 |
| 1417074071 | MS. GLORIA ANN GREENING PSYCHIATRIC TECHNICI Individual | Licensed Psychiatric Technician | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-8660 |
| 1366560112 | ROBERT S GRAFF M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-6937 |
| 1255459061 | MARIA ELIZABETH ARROYO R N Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-8660 |
| 1295853299 | LINDA JANE JEFFRY BRETT R.N. Individual | Registered Nurse (Psychiatric/Mental Health, Child & Adolescent) | 1212 N CALIFORNIA ST STOCKTON, CA 95202 (209) 468-2385 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Mhsa-la Familia Fsp is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.