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SAN JOAQUIN CONNECT III FSP
NPI 1669099743
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stockton, CA

Active since July 06, 2020
4545 GEORGETOWN PL STE F30&D, STOCKTON, CA 95207(510) 337-7950 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 15, 2023, Jul 15, 2020, Jul 6, 2020 (3 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About SAN JOAQUIN CONNECT III FSP

This page provides the complete NPI Profile along with additional information for San Joaquin Connect Iii Fsp, a provider established in Stockton, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1669099743 assigned on July 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as San Joaquin Connect Iii Fsp. The authorized official of this NPI record is Lorena Lopez (Provider Relations Supervisor)

NPI
1669099743 Verify this NPI
Provider Legal Name
TELECARE CORPORATION
Other Organization Name
SAN JOAQUIN CONNECT III FSP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4545 GEORGETOWN PL STE F30&D STOCKTON, CA 95207
Location Phone
(510) 337-7950
Mailing Address
1080 MARINA VILLAGE PKWY STE 100 ALAMEDA, CA 94501
Mailing Phone
(510) 337-7950
Mailing Fax
(510) 337-7969
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2020
Last Update Date
04-19-2023
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Location Map

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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

LORENA LOPEZ

Authorized Official Title
PROVIDER RELATIONS SUPERVISOR
Authorized Official Phone
(510) 747-0552

Reviews for SAN JOAQUIN CONNECT III FSP

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Frequently Asked Questions

What is TELECARE CORPORATION's NPI number?

The NPI number assigned to this healthcare provider is 1669099743, enumerated as an "organization" on July 06, 2020.

Where is the provider located?

The provider is located at 4545 GEORGETOWN PL STE F30&D STOCKTON, CA 95207 and the phone number is (510) 337-7950.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).