MR. JULIAN PEREZ II (NPI# 1275695033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275695033 |
| Entity Type | Individual |
| Full Name | MR. JULIAN PEREZ II |
| Practice Address |
1111 N El Dorado St Stockton CA 95202-1305 |
| Mailing Address |
2205 Able Ct Sacramento CA 95835-1356 |
| Practice Telephone | 2099380228 |
| Mailing Telephone | 9164192203 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
39-07 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791312 | Julian C Perez | Licensed Vocational Nurse | 5602 Antigua Dr, Corpus Christi, TX 78411-5039 | 2018-08-24 |
| 1841556040 | Julian Perez | Counselor | 3434 Grove St, Lemon Grove, CA 91945-1812 | 2012-04-02 |
| 1952455404 | Julian C Perez | Family Medicine | 14434 Ambaum Blvd Sw, Burien, WA 98166-1430 | 2007-01-22 |
| Street Address |
1111 N EL DORADO ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770122384 | Lawrence Von Lo | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2019-12-30 |
| 1083108328 | Savannah Jean Holman | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2018-06-20 |
| 1093203911 | Denise Marie Ahern | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2018-04-26 |
| 1942707740 | Tommy Ross | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2018-04-09 |
| 1164926622 | Eileen Chatham | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2018-03-20 |
| 1649782954 | Ernest Donell Williamson Jr. | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2017-10-26 |
| 1063946002 | Tyda Viveros | Licensed Psychiatric Technician | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2017-04-17 |
| 1417493339 | Trisha Williams | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2017-01-17 |
| 1891146015 | Savin Kourm | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2016-06-29 |
| 1659776656 | Sabina Noel | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2014-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851453500 | Medmark Treatment Centers- Stockton, Inc | Clinic/Center | 1111 N El Dorado Street, Stockton, CA 95202-1305 | 2006-12-15 |
| 1902242753 | Aegis Treatment Centers, LLC | Clinic/Center | 8626 Lower Sacramento Rd, Suite #41, Stockton, CA 95210-1835 | 2013-05-21 |
| 1326191677 | Pao Choua Vang | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2007-01-19 |
| 1750447199 | Deng Vue | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2006-12-29 |
| 1114083771 | Aegis Treatment Centers, LLC | Clinic/Center | 8626 Lower Sacramento Rd Ste 41, Suite 41, Stockton, CA 95210-1835 | 2006-12-28 |
| 1942363585 | Ginned Williams | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2006-12-18 |
| 1285797514 | Da Her | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083224141 | Aegis Treatment Centers, LLC | Clinic/Center | 1450 Bessie Ave Ste B, Tracy, CA 95376-3456 | 2020-08-04 |
| 1093323222 | City and County of San Francisco | Clinic/Center | 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 | 2020-07-14 |
| 1548899644 | Bella Team Ltd. | Clinic/Center | 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 | 2020-04-02 |
| 1386280899 | Western Pacific Med-corp | Clinic/Center | 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 | 2019-11-19 |
| 1518501527 | Harmonic Solutions LLC | Clinic/Center | 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 | 2019-11-01 |
| 1326698887 | Aegis Treatment Centers, LLC | Clinic/Center | 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 | 2019-09-17 |
| 1548819550 | Aegis Treatment Centers, LLC | Clinic/Center | 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 | 2019-09-11 |
| 1306326699 | Kristen Andree Rickard | Clinic/Center | 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 | 2018-08-16 |
| 1083141600 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1145 Market St Fl 10, San Francisco, CA 94103-1566 | 2017-05-13 |
| 1013448547 | Coachella Valley Treatment Center | Clinic/Center | 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 | 2017-03-26 |
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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.