BHS CHILDREN AND YOUTH SERV
NPI 1629406103
Point of Service in Stockton, CA

Q: What is the provider's specialty?

The provider's specialty is Point of Service with taxonomy code 305S00000X.

Active since October 21, 2013

1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-2385 Get Directions Write a Review

NPPES record last updated: October 21, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
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Organization
Point of Service

About BHS CHILDREN AND YOUTH SERV

This page provides the complete NPI Profile along with additional information for Bhs Children And Youth Serv, a provider established in Stockton, California operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1629406103 assigned on October 2013. The practitioner's primary taxonomy code is 305S00000X with license number ASW 28264 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Ms. Lorna Stephanie Trujillo Asw (Mhc1)

NPI: 1629406103 Verify this NPI
Provider Name: BHS CHILDREN AND YOUTH SERV
Entity Type: Organization
Location Address: 1212 N CALIFORNIA ST STOCKTON, CA 95202
Location Phone: (209) 468-2385
Mailing Address: 1212 N CALIFORNIA ST STOCKTON, CA 95202
Mailing Phone: (209) 468-2385
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-21-2013
Last Update Date: 10-21-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Point of Service
Taxonomy Code: 305S00000X
Type: Managed Care Organizations
License No.: ASW 28264
License State: CA
Taxonomy Description: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MS. LORNA STEPHANIE TRUJILLO ASW
Authorized Official Title: MHC1
Authorized Official Phone: (209) 468-4240