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PORT CITY OPERATING COMPANY, LLC
NPI 1679395990
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Active since October 28, 2024
510 E MAGNOLIA ST STE 100, STOCKTON, CA 95202(209) 461-2054 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Port City Operating Company, Llc NPPES

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

PORT CITY OPERATING COMPANY, LLC (NPI 1679395990), doing business as St. Joseph's Behavioral Health Center, is a healthcare organization registered as an addiction (substance use disorder) in Stockton, California and active in the NPI registry since October 2024. The organization lists Andrea Nicole Ochoa, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1679395990
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePORT CITY OPERATING COMPANY, LLC
Location Address510 E MAGNOLIA ST STE 100Stockton, CA 95202-1850
Mailing Address510 E Magnolia St Ste 100Stockton, CA 95202-1850 · (209) 461-2054
Phone(209) 461-2054
Organization SubpartYesParent: Dignity Health
Authorized OfficialAndrea Nicole OchoaChief Financial Officer · (209) 467-6442
Enumeration DateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1679395990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
510 E MAGNOLIA ST STE 100, Stockton, CA 95202
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Other Names 1

Doing Business AsSt. Joseph's Behavioral Health Center

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 7

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

RYAN RIX
Marriage & Family Therapist
510 E MAGNOLIA ST STE 100
STOCKTON, CA 95202
San Joaquin County (209) 938-0831
SARA ALLISON SUTERA
Marriage & Family Therapist
510 E MAGNOLIA ST STE 100
STOCKTON, CA 95202
San Joaquin County (209) 938-0831
MARGARET GROOM CADC-III
Counselor (Addiction (Substance Use Disorder))
510 E MAGNOLIA ST STE 100
STOCKTON, CA 95202
San Joaquin County (209) 938-0831
VIENNA VILLASOR
Registered Nurse
510 E MAGNOLIA ST STE 100
STOCKTON, CA 95202
San Joaquin County (209) 938-0831
GARY MICHAEL LEACH LAZER LCSW
Social Worker
510 E MAGNOLIA ST STE 100
STOCKTON, CA 95202
San Joaquin County (209) 938-0831
CASSANDRA NICOLLE TAGORDA-VARO
Social Worker (Clinical)
510 E MAGNOLIA ST STE 100
STOCKTON, CA 95202
San Joaquin County (209) 938-0831
MRS. TAI REBEL ZOREA MFTI
Case Manager/Care Coordinator
510 E MAGNOLIA ST STE 100
STOCKTON, CA 95202
San Joaquin County (209) 938-0831

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 Port City Operating Company, LLC's NPI number?

The NPI number for Port City Operating Company, LLC is 1679395990. It was assigned to this organization in the NPPES registry on October 28, 2024. The provider is doing business as St. Joseph's Behavioral Health Center.

Where is Port City Operating Company, LLC located?

Port City Operating Company, LLC is located at 510 E Magnolia St Ste 100, Stockton, CA 95202. The listed phone number is (209) 461-2054.

What is Port City Operating Company, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Port City Operating Company, LLC was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.