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GLOM SUBSTANCE ABUSE PROGRAM
NPI 1558945337
Substance Abuse Rehabilitation Facility in Galt, CA

Active since May 08, 2021
13386 MARENGO RD, GALT, CA 95632(925) 570-3282 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2026, Mar 3, 2026, May 2, 2024 and 2 more (5 updates tracked since 2021).

About Glom Substance Abuse Program NPPES

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

GLOM SUBSTANCE ABUSE PROGRAM (NPI 1558945337) is a healthcare organization registered as a substance abuse rehabilitation facility in Galt, California and active in the NPI registry since May 2021. The organization maintains 8 additional practice locations and lists Peggy Phelps, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1558945337
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGLOM SUBSTANCE ABUSE PROGRAM
Location Address13386 MARENGO RDGalt, CA 95632-8429
Mailing Address3123 Independence DrLivermore, CA 94551-7595 · (925) 570-3282
Phone(925) 570-3282
Organization SubpartNo
Authorized OfficialPeggy PhelpsVp Of Operations · (209) 412-2389
Enumeration DateMay 8, 2021
Last NPPES UpdateMarch 17, 20265 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1558945337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
13386 MARENGO RD, Galt, CA 95632
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Secondary Practice Locations 8

Location 12352 Expresso CtStockton, CA 95210-6755 · Phone (209) 412-2389
Location 21922 Burney Falls DrStockton, CA 95206-4506 · Phone (209) 412-2389
Location 36510 El Capitan CirStockton, CA 95210-5103 · Phone (209) 412-2389
Location 48933 Blue Grass DrStockton, CA 95210-4421 · Phone (209) 412-2389
Location 59087 Bridalveil CirStockton, CA 95212-3107 · Phone (209) 412-2389
Location 62532 Etcheverry DrStockton, CA 95212-3013 · Phone (209) 412-2389
Location 7744 N Golden Gate AveStockton, CA 95205-3921 · Phone (209) 412-2389
Location 810898 Boessow RdGalt, CA 95632-8451 · Phone (925) 570-3282

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glom Substance Abuse Program is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Glom Substance Abuse Program, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Jagdeep Kaur, MD
Psychiatry
NPI 1467682260
8120 TIMBERLAKE WAY STE 210B
Sacramento, CA 95823
(916) 917-7316
✔ PECOS✔ Accepts Medicare15 mi
Amandeep Kaur
Mental Health Counselor
NPI 1073041927
1020 W MAIN ST
Merced, CA 95340
(818) 398-6488
✔ PECOS79 mi
Keturah Hood, LCSW
Clinical Social Worker
NPI 1629241138
5300 SOQUEL AVE
Santa Cruz, CA 95062
(408) 637-3414
✔ PECOS✔ Accepts Medicare96 mi
Leslie Langley, DNP-BC
Nurse Practitioner
NPI 1255779120
4789 VINELAND AVE STE 101
North Hollywood, CA 91602
(323) 568-1654
✔ PECOS✔ Accepts Medicare327 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Glom Substance Abuse Program's NPI number?

The NPI number for Glom Substance Abuse Program is 1558945337. It was assigned to this organization in the NPPES registry on May 8, 2021.

Where is Glom Substance Abuse Program located?

Glom Substance Abuse Program is located at 13386 Marengo Rd, Galt, CA 95632. The listed phone number is (925) 570-3282.

What is Glom Substance Abuse Program's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Is Glom Substance Abuse Program enrolled in Medicare?

Yes. Glom Substance Abuse Program is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glom Substance Abuse Program?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Glom Substance Abuse Program, in Clinical Social Worker, Mental Health Counselor, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glom Substance Abuse Program was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.