RICKY BROWN (NPI# 1457623829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457623829 |
| Entity Type | Individual |
| Full Name | RICKY BROWN |
| Practice Address |
503 S Pershing Ave Stockton CA 95203-3236 |
| Practice Telephone | 2098105864 |
| Mailing Telephone | 2098105864 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376894220 | Ricky Dean Brown | Counselor | 629 W Comanche St, Norman, OK 73069-5509 | 2012-10-01 |
| 1144419359 | Ricky G. Brown | Counselor | 4368 Lincoln Ave., Lincoln Child Center, Oakland, CA 94602 | 2007-10-24 |
| 1689655649 | Ricky R Brown | Nurse Anesthetist, Certified Registered | 100 Mercy Way, Joplin, MO 64804-4524 | 2005-11-08 |
| Street Address |
503 S PERSHING AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95203-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437588365 | Viola Shackleford | Counselor | 503 S Pershing Ave, Stockton, CA 95203-3236 | 2013-11-01 |
| 1407101686 | Robert Moore | Counselor | 503 S Pershing Ave, Stockton, CA 95203-3236 | 2012-07-13 |
| 1578818761 | Deshay Gaines | Counselor | 503 S Pershing Ave, Stockton, CA 95203-3236 | 2012-07-13 |
| 1407128507 | Kempton Jones | Counselor | 503 S Pershing Ave, Stockton, CA 95203-3236 | 2012-02-03 |
| 1336411701 | Clinton Marshall | Counselor | 503 S Pershing Ave, Stockton, CA 95203-3236 | 2012-02-01 |
| 1447522818 | Tomias Cox | Counselor | 503 S Pershing Ave, Stockton, CA 95203-3236 | 2012-02-01 |
| 1275805632 | Walter L Broady | Counselor | 503 S Pershing Ave, Stockton, CA 95203-3236 | 2012-02-01 |
| 1508138975 | Antoine Matthews | Counselor | 503 S Pershing Ave, Stockton, CA 95203-3236 | 2012-02-01 |
| 1225300692 | Wayne B Richardson | Counselor | 503 S Pershing Ave, Stockton, CA 95203-3236 | 2012-02-01 |
| 1093087454 | Jermaine Bowden | Counselor | 503 S Pershing Ave, Stockton, CA 95203-3236 | 2012-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899349 | Sagrario Alva Chavez | Technician | Sagrario Chavez, 1248 West Park St., Stockton, CA 95203 | 2019-12-26 |
| 1538682810 | Kumars Transport | Non-emergency Medical Transport (VAN) | 1112 W Fremont St, Stockton, CA 95203 | 2017-07-19 |
| 1194251595 | Jesmond Ridge Medical Services A Medical Corporation | Emergency Medicine | 525 W Acacla St, Stockton, CA 95203 | 2017-05-04 |
| 1285011064 | Brian Andrew Reuter | Emergency Medicine | Dameron Hospital, 525 Acacia St, Stockton, CA 95203 | 2015-04-30 |
| 1548209240 | Aaron James Simko | Pediatrics | 525 Acacia Street, Neonatal Department, Stockton, CA 95203 | 2006-06-06 |
| 1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
| 1619350634 | Sudha Vani Saduvala | Internal Medicine | 525 W Acacia St, Stockton, CA 95203 | 2015-07-08 |
| 1740621671 | Syed Salman Ali | Internal Medicine | 525 W Acacia St, Stockton, CA 95203 | 2013-07-08 |
| 1417021726 | Sahir Naseer | Emergency Medicine | 525 W Acacia St, Stockton, CA 95203 | 2006-11-20 |
| 1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
| Find all providers in zip 95203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893155 | Tracey Black | Counselor | 130 W Flora St, Stockton, CA 95202-1636 | 2020-08-25 |
| 1699305508 | Juan Robles | Counselor | 1947 N California St # 95204, Stockton, CA 95204-6029 | 2020-01-20 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1821648353 | Kaye Lynn Scott-roy | Counselor | 285 H Rd, Stockton, KS 67669-8889 | 2019-09-17 |
| 1760049043 | Jay Frank Williams | Counselor | 1105 N El Dorado St, Stockton, CA 95202-1305 | 2019-05-22 |
| 1184105462 | Rachelle Diane Wilson | Counselor | 2733 N Sutter St, Stockton, CA 95204-4548 | 2018-08-24 |
| 1568943835 | Heather Lynn Rogers | Counselor | 3990 Black Butte Cir, Stockton, CA 95209-3500 | 2018-08-24 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1760995781 | Dana Lamont Harris | Counselor | 2833 Buckner Ct, Stockton, CA 95207-2302 | 2017-11-13 |
| 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.