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

Robert Ken OTA

Individual provider Case Manager/Care Coordinator · NPI 1578786554

Robert Ken OTA is a Case Manager/Care Coordinator in Stockton, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-8660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 33792 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1578786554
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024

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