CHARLES WINFIELD EPROSON JR.


Address: 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229
Phone: 2092695587

CHARLES WINFIELD EPROSON JR. (NPI# 1578103313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578103313
Entity Type Individual
Full Name CHARLES WINFIELD EPROSON JR.
Practice Address 4545 Georgetown Pl Ste D
Stockton
CA 95207-6229
Practice Telephone 2092695587
Mailing Telephone 2092695587
Enumeration Date 2020-01-09
Last Update Date 2020-01-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 4545 GEORGETOWN PL STE D
City STOCKTON
State CA
Zip Code 95207-6229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386243590 Alena Bird Licensed Psychiatric Technician 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 2020-10-19
1659998649 Misty Camarillo Licensed Vocational Nurse 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 2020-06-25
1316570922 Isaac Zuniga Counselor 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 2020-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669004438 Dr. Jeffrey A Saladin, Dental Corporation Dentist 1002 Robinhood Drive, Stockton, CA 95207 2020-02-10
1811533110 Tanya V Jones Dental Hygienist Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 2019-11-21
1053966358 Ingrid Marcela Saavedra Behavioral Analyst 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 2019-08-05
1497218861 Turning Point Community Programs Community/Behavioral Health 1803 W March Ln Ste C-d, Stockton, CA 95207 2019-04-11
1427510627 Stockton Sleep Center Inc Physiological Laboratory 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 2019-04-05
1518436229 Nicolas Anthony Overby Occupational Therapist Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 2018-11-26
1912475724 Ashley Johnson Behavior Technician 87 W. March Ln. Suite 6, Stockton, CA 95207 2018-11-09
1124596085 Korie Cottrell Behavior Technician 87 W. March Ln., Suite 6, Stockton, CA 95207 2018-11-08
1760979645 Maria Esther Rodriguez Counselor 2425 W March Ln., Stockton, CA 95207 2018-04-17
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376086389 Sabrina Wettstein Peer Specialist 1305 E Stadium Dr, Stockton, CA 95204-2426 2016-11-22
1013462670 Johnny Chin Peer Specialist 2414 Brandywine Ct, Stockton, CA 95210-6752 2016-08-23
1801292263 Robert Terrance Williams Peer Specialist 1149 North El Dorado, Stockton, CA 95202 2014-11-13
1831737857 Gabriela Brizuela Peer Specialist 405 E Pine St, Stockton, CA 95204-5522 2019-12-20
1356821706 Frances Olivia Quintero Peer Specialist 1149 N El Dorado St, Stockton, CA 95202-1305 2018-08-15
1245733203 Latisha Rose Mucker Peer Specialist 1149 N El Dorado St, Stockton, CA 95202-1305 2018-03-15
1275089070 Chia Vang Peer Specialist 8338 West Ln Ste 105, Stockton, CA 95210-3145 2016-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609477629 Karen J Pompa Peer Specialist 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 2020-11-05
1033710231 Marcus Kujawa Peer Specialist 85 Ramona Expy Ste 13, Perris, CA 92571-7014 2020-11-04
1962001230 Tanya Geanna Macleod Peer Specialist 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 2020-10-19
1043826753 Dayjahnay Shantay Davenport Peer Specialist 3347 Lincoln Ave, San Diego, CA 92104-2111 2020-09-17
1497364848 Marissa Adrianna Garza Peer Specialist 1502 Verona Ct, Salinas, CA 93905-2249 2020-07-30
1235765801 Jill Nina Bierman Peer Specialist 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 2020-03-16
1427683101 Gerardo Castro Peer Specialist 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 2020-03-03
1437783180 Samuel Guadron Rosales Peer Specialist 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 2020-03-02
1356973234 Salina Sheoli Romero Peer Specialist 40 West G Street Ste. B, Los Banos, CA 93635 2020-02-07
1316585227 Katelynn Patterson Peer Specialist 407 Tate St, Bakersfield, CA 93306-5446 2019-12-11
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Competitor

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City STOCKTON
Zip Code 95207

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Dataset Information

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.

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