1. Home
  2. Directory
  3. California
  4. Stockton
  5. Community Behavioral Health
  6. NPI Profile

CRESTWOOD MANOR - STOCKTON
NPI 1346373875
Community/Behavioral Health in Stockton, CA

Active since March 13, 2007CLIA 05D0609382 · Waiver
1130 MONACO CT, STOCKTON, CA 95207(209) 525-7423 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crestwood Manor - Stockton NPPES

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

CRESTWOOD MANOR - STOCKTON (NPI 1346373875) is a healthcare organization registered as a community/behavioral health in Stockton, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Denise C Hunt, Behavioral Health Director, as its authorized official.

NPPES Registry Identity

NPI1346373875
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSTANISLAUS COUNTY
Location Address1130 MONACO CTStockton, CA 95207-6704
Mailing Address800 Scenic DrModesto, CA 95350-6131 · (209) 525-7423
Phone(209) 525-7423
Organization SubpartNo
Authorized OfficialDenise C HuntBehavioral Health Director · (209) 525-6225
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1346373875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
1130 MONACO CT, Stockton, CA 95207
Open in Google Maps ↗

Other Names 1

Other NameCrestwood Manor - Stockton

Other Identifiers 1

Medicaid50ALCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0609382

Crestwood Manor - Stockton · Stockton, CA
Active · expires Aug 31, 2026
CLIA Number05D0609382
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLian Soung
Laboratory Phone(209) 478-2060
Laboratory LocationCrestwood Manor - Stockton1130 Monaco Ct, Stockton, CA 95207
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

CRESTWOOD BEHAVIORAL HEALTH, INC.
Skilled Nursing Facility
1130 MONACO CT
STOCKTON, CA 95207
San Joaquin County (209) 478-2060
MR. JOHN FONG MD
Psychiatry & Neurology (Psychiatry)
1130 MONACO CT
STOCKTON, CA 95207
San Joaquin County (209) 478-2060

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 Stanislaus County's NPI number?

The NPI number for Stanislaus County is 1346373875. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is also known as Crestwood Manor - Stockton.

Where is Stanislaus County located?

Stanislaus County is located at 1130 Monaco Ct, Stockton, CA 95207. The listed phone number is (209) 525-7423.

What is Stanislaus County's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Stanislaus County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0609382) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stanislaus County was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.