TELECARE CORPORATION (NPI# 1518526359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518526359 |
| Entity Type | Organization |
| Organization Name | TELECARE CORPORATION |
| Other Organization Name | TELECARE SAN JOAQUIN CONNECT II |
| Practice Address |
4545 Georgetown Pl Suite D and E-28 Stockton CA 95207-6229 |
| Mailing Address |
1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 |
| Practice Telephone | 2092695587 |
| Practice Fax Number | 2092309798 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | LESLIE DAVIS (SVP, CFO) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Telecare San Joaquin Connect II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906903 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 205 Hillside Rd, Antioch, CA 94509-4931 | 2020-09-14 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1396377875 | Telecare Corporation | Clinic/Center | 316 Kentuky St, Bakersfield, CA 93305 | 2020-02-12 |
| 1932754033 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 7821 English Hills Rd, Vacaville, CA 95688-9543 | 2019-08-06 |
| 1790344539 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 | 2019-06-06 |
| 1609340769 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 12956 Alta Mesa Rd, Herald, CA 95638-8309 | 2019-01-11 |
| 1952880825 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 24 W Cypress Pl, Oakley, CA 94561-2258 | 2018-08-10 |
| 1619476892 | Telecare Corporation | Psychiatric Residential Treatment Facility | 298 Bernal Rd Ste A, San Jose, CA 95119-1809 | 2018-02-02 |
| 1912418930 | Telecare Corporation | Clinic/Center | 1481 North Windsor Drive, San Bernardino, CA 92404-5416 | 2017-10-17 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TELECARE CORPORATION | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 |
| Colorado Business Entities | Telecare Corporation | 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501 |
| Street Address |
4545 GEORGETOWN PL SUITE D AND E-28 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992715759 | Hao Van Nguyen | Dentist | 4545 Georgetown Pl, Suite B 8, Stockton, CA 95207-6215 | 2006-08-08 |
| 1902458508 | Cassandra K Sysouvanh | Case Manager/Care Coordinator | 4545 Georgetown Pl, Stockton, CA 95207-6215 | 2019-07-12 |
| 1477084671 | Tran Tran | Licensed Vocational Nurse | 4545 Georgetown Pl, A3, Stockton, CA 95207-6215 | 2017-03-21 |
| 1376094581 | Manuel Cruz Dominguez Jr. | Counselor | 4545 Georgetown Pl, Suite A3, Stockton, CA 95207-6215 | 2016-10-24 |
| 1124395710 | Walker Chiropractic, Inc. | Chiropractor | 4545 Georgetown Pl, Suite A7, Stockton, CA 95207-6215 | 2011-11-26 |
| 1679713796 | Angie Jo Nicholas | Marriage & Family Therapist | 4545 Georgetown Pl, B-13, Stockton, CA 95207-6215 | 2009-03-02 |
| 1932383924 | Toanhungtran Md Inc | General Practice | 4545 Georgetown Pl, C 16, Stockton, CA 95207-6215 | 2007-12-26 |
| 1538359682 | Lynell Bennett Youngblood | Counselor | 4545 Georgetown Pl, Ste F-36, Stockton, CA 95207-6215 | 2007-07-25 |
| 1255534970 | Judy L Hallisey | Marriage & Family Therapist | 4545 Georgetown Pl, Stockton, CA 95207-6215 | 2007-06-08 |
| 1528261708 | Douglas Robert Brewer | Social Worker | 4545 Georgetown Pl, Stockton, CA 95207-6215 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881241776 | Delta Center Family Therapy Inc | Clinic/Center | 343 E Main St Ste 701, Stockton, CA 95202-2977 | 2019-08-24 |
| 1790344539 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 | 2019-06-06 |
| 1982071502 | Telecare Corporation | Clinic/Center | 4545 Georgetown Place, Suite A3, Stockton, CA 95207-6228 | 2015-08-31 |
| 1215214069 | San Joaquin County Behavioral Health Services | Clinic/Center | 24 S Hunter St, Stockton, CA 95202-3231 | 2011-11-08 |
| 1740584218 | Nathaniel Scott | Clinic/Center | 234 E Fremont St, Stockton, CA 95202-2016 | 2010-12-27 |
| 1669099743 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 | 2020-07-06 |
| 1730706813 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste A3, Stockton, CA 95207-6228 | 2020-07-06 |
| 1043781354 | San Joaquin County Behavioral Heatlh Services | Clinic/Center | 1212 N California St, Stockton, CA 95202-1552 | 2018-12-12 |
| 1598232456 | San Joaquin County Behavioral Health Services | Clinic/Center | 1212 N California St, Stockton, CA 95202-1552 | 2018-10-30 |
| 1841774981 | Jane Addams Community Mental Health Center | Clinic/Center | 725 N Pearl St, Stockton, IL 61085-9267 | 2018-09-24 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.