PERSIMMON HEALTH CENTER, INC. (NPI# 1194276436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194276436 |
| Entity Type | Organization |
| Organization Name | PERSIMMON HEALTH CENTER, INC. |
| Practice Address |
3024 Pacific Ave Stockton CA 95204-3639 |
| Mailing Address |
130 Park Ave Merced CA 95348-3421 |
| Practice Telephone | 2096760048 |
| Mailing Telephone | 2096760048 |
| Mailing Fax Number | 2098008823 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | MS. YONIE YOUNG (PRESIDENT, OWNER) |
| Authorized Official Telephone | 2096760048 |
| Authorized Official Credential | L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC11287 | CA | Other Service Providers |
| Street Address |
3024 PACIFIC AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710337969 | Shoanie Young | Acupuncturist | 3024 Pacific Ave, Stockton, CA 95204-3639 | 2016-06-20 |
| 1770990806 | Karen Sanchez | Psychologist | 3024 Pacific Ave, Stockton, CA 95204-3639 | 2014-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932515988 | Jin Yu | Acupuncturist | 1350 W Robinhood Dr Ste 10, Stockton, CA 95207-5514 | 2014-07-09 |
| 1023383072 | Daniel Minh Tao | Acupuncturist | 6860 Pacific Ave, Stockton, CA 95207-2611 | 2012-03-08 |
| 1881840916 | Ruiling Wang | Acupuncturist | 5651 N Pershing Ave, Suite A-4, Stockton, CA 95207-4947 | 2008-08-08 |
| 1053533117 | Roman Robles | Acupuncturist | 10 E Martin Luther King Jr., Stockton, CA 95206 | 2007-05-02 |
| 1497870521 | John C Lee | Acupuncturist | 1231 W Robinhood Dr, Suite C3, Stockton, CA 95207-5506 | 2007-03-20 |
| 1033244017 | Yuen Yee Wong | Acupuncturist | 2613 N California St, Stockton, CA 95204-5526 | 2007-02-22 |
| 1275591000 | Randhir H Singh | Acupuncturist | 1805 N California St Ste 409, Stockton, CA 95204-6033 | 2006-05-02 |
| 1720627656 | Jared Valenzuela | Acupuncturist | 3663 Arch Rd, Stockton, CA 95215-8315 | 2019-12-23 |
| 1710337969 | Shoanie Young | Acupuncturist | 3024 Pacific Ave, Stockton, CA 95204-3639 | 2016-06-20 |
| 1548698707 | Stanly Chuong | Acupuncturist | 2613 N California St, Stockton, CA 95204-5526 | 2013-10-28 |
| 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.