COMMUNITY SOCIAL MODEL ADVOCATES (NPI# 1588860498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588860498 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SOCIAL MODEL ADVOCATES |
| Practice Address |
1301 Yosemite Pkwy Merced CA 95340-5203 |
| Practice Telephone | 2097226335 |
| Practice Fax Number | 2097226371 |
| Mailing Telephone | 2097226335 |
| Mailing Fax Number | 2097226371 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL HALVERSON (PROGRAM SPECIALIST II) |
| Authorized Official Telephone | 2097226335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1301 YOSEMITE PKWY |
| City | MERCED |
| State | CA |
| Zip Code | 95340-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475621 | Jose Manuel Soto | Counselor | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2020-01-02 |
| 1558909028 | Raphael Prado Barba Jr. | Counselor | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2019-12-16 |
| 1861966566 | Joseph Paul Carty | Counselor | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2019-01-15 |
| 1992243661 | Michael Stafford | Counselor | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2017-02-02 |
| 1134536014 | Manuel Garza Jr. | Counselor | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2014-07-12 |
| 1023453057 | Jason Wayne Newman | Counselor | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2013-05-03 |
| 1467727271 | Gabriel Rojas | Substance Abuse Rehabilitation Facility | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2012-03-12 |
| 1992079107 | C.s.m.a. Hobie House | Substance Abuse Rehabilitation Facility | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2012-03-06 |
| 1811261308 | Mark Daniel Martinez | Behavioral Analyst | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2012-02-29 |
| 1700078060 | Jon Pratt Gossett | Counselor | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2007-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
| 1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
| 1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
| 1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
| Find all providers in zip 95340 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417347469 | Merced Rescue Mission | Substance Abuse Rehabilitation Facility | 1921 Canal St, Merced, CA 95340-3725 | 2015-01-29 |
| 1861820029 | David J. Riordan's Hobie House | Substance Abuse Rehabilitation Facility | 1299 Yosemite Pkwy, Merced, CA 95340-5265 | 2013-10-28 |
| 1467727271 | Gabriel Rojas | Substance Abuse Rehabilitation Facility | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2012-03-12 |
| 1992079107 | C.s.m.a. Hobie House | Substance Abuse Rehabilitation Facility | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2012-03-06 |
| 1760681472 | Mike Duane Hetland | Substance Abuse Rehabilitation Facility | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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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.