Jose Manuel Avila, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2285 Issued in CA

Practice address

6480 Brook Hollow Cir
Stockton, CA 95219-2436

Phone

(209) 470-2953

NPI assigned

Jun 18, 2026

Last updated

Jun 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1114853249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 BROOK HOLLOW CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192436",
            "telephone_number": "209-470-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 BROOK HOLLOW CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192436",
            "telephone_number": "209-470-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "2285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Avila Garcia
• Julissa Avila-Corona
• Cynthia Guadalupe Avila
• Genecis Avila
• Jessica Avila
• Krystal Madeline Avila
• Linda Avila, P.T.
• Mixtli Avila
• Ruben Juan Avila
• Toni Maxine Avila

• Psychologist in Stockton, CA
• Providers in Stockton, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.