COMMUNITY RE-ENTRY PROGRAM
NPI 1477896173
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since April 01, 2013
3601 PACIFIC AVE, STOCKTON, CA 95211(209) 256-3446 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Community Re-entry Program NPPES

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

COMMUNITY RE-ENTRY PROGRAM (NPI 1477896173) is a healthcare organization registered as a student in an organized health care education/training program in Stockton, California and active in the NPI registry since April 2013. The organization lists Cris Clay, Program Director, as its authorized official.

NPPES Registry Identity

NPI1477896173
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameCOMMUNITY RE-ENTRY PROGRAM
Location Address3601 PACIFIC AVEStockton, CA 95211-0110
Mailing Address3601 Pacific AveStockton, CA 95211-0110
Organization SubpartNo
Authorized OfficialCris ClayProgram Director · (209) 256-3446
Enumeration DateApril 1, 2013
NPI 1477896173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3601 PACIFIC AVE, Stockton, CA 95211

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Counselor
3601 PACIFIC AVE
STOCKTON, CA 95211
Student in an Organized Health Care Education/Training Program
3601 PACIFIC AVE, PSYCHOLOGY DEPARTMENT
STOCKTON, CA 95211
Day Training/Habilitation Specialist
3601 PACIFIC AVE
STOCKTON, CA 95211
Specialist/Technologist (Athletic Trainer)
3601 PACIFIC AVE
STOCKTON, CA 95211
Student in an Organized Health Care Education/Training Program
3601 PACIFIC AVE
STOCKTON, CA 95211
Dentist
3601 PACIFIC AVE
STOCKTON, CA 95211
Student in an Organized Health Care Education/Training Program
3601 PACIFIC AVE
STOCKTON, CA 95211
Day Training/Habilitation Specialist
3601 PACIFIC AVE
STOCKTON, CA 95211

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 Community Re-Entry Program's NPI number?

The NPI number for Community Re-Entry Program is 1477896173. It was assigned to this organization in the NPPES registry on April 1, 2013.

Where is Community Re-Entry Program located?

Community Re-Entry Program is located at 3601 Pacific Ave, Stockton, CA 95211. The listed phone number is (209) 256-3446.

What is Community Re-Entry Program's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Community Re-Entry Program was last updated on April 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.