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COMMUNITY RE-ENTRY PROGRAM, ILS
NPI 1851414189
Community/Behavioral Health in Stockton, CA

Active since April 10, 2007
405 E PINE ST, STOCKTON, CA 95204(209) 946-2132(209) 946-2284 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Re-entry Program, Ils NPPES

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

COMMUNITY RE-ENTRY PROGRAM, ILS (NPI 1851414189) is a healthcare organization registered as a community/behavioral health in Stockton, California and active in the NPI registry since April 2007. The organization lists Holly White, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1851414189
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameUNIVERSITY OF THE PACIFIC
Location Address405 E PINE STStockton, CA 95204-5522
Mailing Address3601 Pacific AveStockton, CA 95211 · (209) 946-2132 · Fax (209) 946-2284
Phone(209) 946-2132
Fax(209) 946-2284
Organization SubpartNo
Authorized OfficialHolly WhiteExecutive Director · (209) 946-2132
Enumeration DateApril 10, 2007
Last NPPES UpdateJune 23, 2016
✔ NPI 1851414189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
405 E PINE ST, Stockton, CA 95204
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Other Names 1

Doing Business AsCommunity Re-entry Program, Ils

Other Identifiers 2

Other90441CA · Medi-cal
Other90432CA · Medi-cal

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.

BRENDA ZERMENO
Student in an Organized Health Care Education/Training Program
405 E PINE ST
STOCKTON, CA 95204
San Joaquin County (209) 464-5519
DANIEL MATTS
Student in an Organized Health Care Education/Training Program
405 E PINE ST
STOCKTON, CA 95204
San Joaquin County (209) 464-5519
MR. MAURICE TROY PEOPLES JR.
Student in an Organized Health Care Education/Training Program
405 E PINE ST
STOCKTON, CA 95204
San Joaquin County (209) 464-5519
MARYJANE TAYA MESA
Student in an Organized Health Care Education/Training Program
405 E PINE ST
STOCKTON, CA 95204
San Joaquin County (209) 464-5519
SADAF FAKHARZADEH
Student in an Organized Health Care Education/Training Program
405 E PINE ST
STOCKTON, CA 95204
San Joaquin County (209) 464-5519
JESSE AARON BOBER
Student in an Organized Health Care Education/Training Program
405 E PINE ST
STOCKTON, CA 95204
San Joaquin County (209) 464-5519
SAMREEN KAUR CHIMA
Day Training/Habilitation Specialist
405 E PINE ST
STOCKTON, CA 95204
San Joaquin County (209) 464-5519
SOPHIA HANSEN
Day Training/Habilitation Specialist
405 E PINE ST
STOCKTON, CA 95204
San Joaquin County (209) 464-5519

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 University Of The Pacific's NPI number?

The NPI number for University Of The Pacific is 1851414189. It was assigned to this organization in the NPPES registry on April 10, 2007. The provider is doing business as Community Re-Entry Program, Ils.

Where is University Of The Pacific located?

University Of The Pacific is located at 405 E Pine St, Stockton, CA 95204. The listed phone number is (209) 946-2132.

What is University Of The Pacific's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for University Of The Pacific was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.