Divina Palafox, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

Practice address

1839 S El Dorado St
Stockton, CA 95206-2025

Phone

(209) 463-0872

Fax

(209) 466-4446

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medmark Treatment Centers - Stockton, Inc.

  • Methadone Clinic
  • Stockton, CA
  • NPI 1851453500
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1912061995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 VILLAGE GREEN DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104607",
            "telephone_number": "209-401-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 S EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062025",
            "telephone_number": "209-463-0872",
            "fax_number": "209-466-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAFOX",
        "first_name": "DIVINA",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilly Palacio
• Yvette Rodriguez Palacio
• Danielle Palacios
• Luis Gerardo Palacios
• Margarita Palacios
• David Paler, PA-C
• Nicole Medina Palermo, D.P.T.
• Michelle Ann Pallen
• Kristopher Pallesen, PTA
• Gina M Pallotta, PH.D.

• Licensed Psychiatric Technician in Stockton, CA
• Providers in Stockton, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.