Joyce Isabel Aguon
Individual provider Active NPI Driver · Stockton, CA
NPI 1922668474 · NPPES record last updated Dec 12, 2023
Key facts
- NPI
- 1922668474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 172A00000X (CA)
- Practice address
- 1212 N California St
Stockton, CA 95202-1552 - Phone
- (209) 953-7390
- NPI assigned
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172A00000X | CA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 172A00000X | CA | Yes |
Addresses
Primary practice location
1212 N California St
Stockton, CA 95202-1552
Mailing address
1149 N El Dorado St FL 1
Stockton, CA 95202-1305
Phone (209) 468-2335
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.