SAN JOAQUIN
NPI 1942584354
Intermediate Care Facility, Mental Illness in French Camp, CA

Q: What is San Joaquin's NPI number?

The NPI number for San Joaquin is 1942584354. It was assigned to this organization in the NPPES registry on October 4, 2011.

Q: What is San Joaquin's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

Q: When was this NPI record last updated?

The NPPES record for San Joaquin was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since October 04, 2011CLIA 05D2208687 · Waiver

7000 MICHAEL CANLIS WAY, FRENCH CAMP, CA 95231(209) 468-5129(209) 468-5184 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About San Joaquin NPPES

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

SAN JOAQUIN (NPI 1942584354) is a healthcare organization registered as an intermediate care facility, mental illness in French Camp, California and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Belinda Graham, Senior Psychiatric Technician, as its authorized official.

NPPES Registry Identity

NPI1942584354

Entity TypeOrganization

Primary Taxonomy310500000X

Legal Business NameSAN JOAQUIN

Location Address7000 MICHAEL CANLIS WAYFrench Camp, CA 95231-9781

Mailing Address7000 Michael Canlis WayFrench Camp, CA 95231-9781 · (209) 468-5129 · Fax (209) 468-5184

Phone(209) 468-5129

Fax(209) 468-5184

Organization SubpartNo

Authorized OfficialBelinda GrahamSenior Psychiatric Technician · (209) 468-5129

Enumeration DateOctober 4, 2011

✔ NPI 1942584354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code310500000X

License✔ Licensed in CA · PT30322

Definition

A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

7000 MICHAEL CANLIS WAY, French Camp, CA 95231

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2208687

San Joaquin Emergency Medical Services Agency · French Camp, CA

Active · expires Jan 6, 2027

CLIA Number05D2208687

Laboratory TypeEmergency Medical Service

Certificate Effective DateJanuary 7, 2025

Certificate Expiration DateJanuary 6, 2027

Laboratory DirectorKatherine Shafer

Laboratory Phone(209) 468-6818

Laboratory LocationSan Joaquin Emergency Medical Services Agency505 West Service Road, Benton Hall, Room 47, French Camp, CA 95231

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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.

COUNTY OF SAN JOAQUIN

Clinic/Center (Prison Health)