Active NPI
Maribel Vargas
- Counselor
- Stockton, CA
National Provider Identifier
1821247149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1149 N El Dorado St
Stockton, CA 95202-1305 - Phone
- (209) 468-2335
- NPI assigned
- Sep 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1149 N El Dorado St
Stockton, CA 95202-1305
Mailing address
1305 Tommydon St
Stockton, CA 95210-3364
Phone (209) 479-3314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1392978 | Other | CA | DRIVERS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1821247149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 TOMMYDON ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103364",
"telephone_number": "209-479-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 N EL DORADO ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952021305",
"telephone_number": "209-468-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "MARIBEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "D1392978",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.