Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Re-Entry Program

Organization Student in an Organized Health Care Education/Training Program · NPI 1477896173

Community Re-Entry Program is a Student in an Organized Health Care Education/Training Program in Stockton, California. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

3601 Pacific Ave
Stockton, CA 95211-0110
Phone: (209) 256-3446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1477896173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cris Clay — Program Director · (209) 256-3446
NPI enumeratedApril 1, 2013
Last updated in NPPESApril 1, 2013
Mailing address3601 Pacific Ave, Stockton, CA 95211-0110

Other providers in Stockton