OrganizationActive
Lutheran Social Services of Northern California
NPI 1023766185 · Case Management Agency · Stockton, CA
Provider details
- NPI number
- 1023766185
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Parent organization
- Lutheran Social Services of Northern California
- Organization subpart
- Yes
- Authorized official
- Mixtlicoatl Gonzalez, Data Systems Manager(916) 900-0614
Specialties & taxonomies
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4550 N Pershing Ave Ste 120
Stockton, CA 95207-6737
Phone: (916) 900-6140
Street-level locationGet directions
Mailing address
4390 47th Ave
Sacramento, CA 95824-3700
Registry dates
- Enumerated
- 2022-03-16
- Last updated
- 2022-04-05
- Certified
- 2022-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.