Persimmon Health Center, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11287 Issued in CA

Legal business name

PERSIMMON HEALTH CENTER, INC.

Practice address

1625 W March LN
Stockton, CA 95207-6473

Phone

(209) 955-0805

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Yonie YoungNPI 1639390305

Title

President, L.Ac.

Phone

(209) 955-0805

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yonie Young, L. AC

  • Acupuncturist
  • Stockton, CA
  • NPI 1639390305
  NPD Authorized official
• Shoanie Young

  • Acupuncturist
  • Stockton, CA
  • NPI 1710337969
  NPD (past)

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1194276436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 PETERSBURG CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952193830",
            "telephone_number": "209-955-0805",
            "fax_number": "209-800-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W MARCH LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076473",
            "telephone_number": "209-955-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSIMMON HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "YONIE",
        "authorized_official_title_or_position": "PRESIDENT, L.AC.",
        "authorized_official_telephone_number": "209-955-0805"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Perry, RADT
• Larissa Perry
• Mariah Perry
• Onisha Candise Perry
• Shardon Jemelle Perryman
• Dawnette Person, FNP-C
• Erica Pesaras-Datuin
• Jessica L Peters
• John Del Peters
• Kenneth Darryl Peters Sr.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.