Moses Pacheco III
Marriage & Family Therapist in Stockton, CA. Individual provider (NPI-1).
NPI number1366845232
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1366845232
- Entity type
- Individual (NPI-1)
- Name
- Moses Pacheco III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2014
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MARRIAGE AND FAMILY THERAPIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 127871 | CA | Yes |
| 101YP2500X | Counselor, Professional | 123462 | CA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1305 Tommydon StStockton, CA 95210-3364
Phone 209-476-5143
Mailing address
7373 West LnStockton, CA 95210-3377
Phone 209-476-5143
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 342 Marriage & Family Therapist providers in Stockton · All 11,041 providers in Stockton
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