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COUNTY OF CALAVERAS
NPI 1053972885
Clinic/Center - Rehabilitation, Substance Use Disorder in San Andreas, CA

Active since June 24, 2019
590 TOYANZA DRIVE, SAN ANDREAS, CA 95249(209) 754-6525(209) 754-6597 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About County Of Calaveras NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTY OF CALAVERAS (NPI 1053972885) is a healthcare organization registered as a rehabilitation, substance use disorder in San Andreas, California and active in the NPI registry since June 2019. The organization lists Stacey Meily, Bhs Program Manager, as its authorized official.

NPPES Registry Identity

NPI1053972885
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCOUNTY OF CALAVERAS
Location Address590 TOYANZA DRIVESan Andreas, CA 95249-9713
Mailing Address891 Mountain Ranch RdSan Andreas, CA 95249-9713 · (209) 754-6525 · Fax (209) 754-6597
Phone(209) 754-6525
Fax(209) 754-6597
Organization SubpartYesParent: Calaveras County Substance Abuse Program
Authorized OfficialStacey MeilyBhs Program Manager · (209) 754-6516
Enumeration DateJune 24, 2019
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1053972885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
590 TOYANZA DRIVE, San Andreas, CA 95249
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLEY MARTIN
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6572
ROBERT R FULGHAM SUDCC II
Counselor (Addiction (Substance Use Disorder))
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6555
LYNDSI MARIE HOUSE SUDRC I
Counselor (Addiction (Substance Use Disorder))
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-2833
JOSHUA DAVID CHRISTIE SUDRC I
Counselor (Addiction (Substance Use Disorder))
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6555
CHARLENE HERNANDEZ
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (951) 543-0031
CALAVERAS COUNTY SUBSTANCE ABUSE PROGRAM
Clinic/Center (Rehabilitation, Substance Use Disorder)
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6555
CYNTHIA ANN LOPEZ
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6525
JESUS GONZALES
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6813

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Calaveras's NPI number?

The NPI number for County Of Calaveras is 1053972885. It was assigned to this organization in the NPPES registry on June 24, 2019.

Where is County Of Calaveras located?

County Of Calaveras is located at 590 Toyanza Drive, San Andreas, CA 95249. The listed phone number is (209) 754-6525.

What is County Of Calaveras's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for County Of Calaveras was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.