RICARDO MARAVILLA-GARCIA
NPI 1073176566
Peer Specialist in Modesto, CA

Active since April 19, 2019
2215 BLUE GUM AVE, MODESTO, CA 95358(209) 525-5401 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2023, Apr 19, 2019 (2 updates tracked since 2019).

About Ricardo Maravilla-garcia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICARDO MARAVILLA-GARCIA (NPI 1073176566) is an individual peer specialist in Modesto, California and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1073176566
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameRICARDO MARAVILLA-GARCIA
Location Address2215 BLUE GUM AVEModesto, CA 95358-1052
Mailing Address522 E Granger AveModesto, CA 95350-4545 · (209) 558-4610
Sole ProprietorNo
Enumeration DateApril 19, 2019
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1073176566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2215 BLUE GUM AVE, Modesto, CA 95358

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
2215 BLUE GUM AVE
MODESTO, CA 95358
Counselor (Professional)
2215 BLUE GUM AVE
MODESTO, CA 95358
Counselor (Addiction (Substance Use Disorder))
2215 BLUE GUM AVE
MODESTO, CA 95358
Community/Behavioral Health
2215 BLUE GUM AVE
MODESTO, CA 95358
Student in an Organized Health Care Education/Training Program
2215 BLUE GUM AVE
MODESTO, CA 95358
Community/Behavioral Health
2215 BLUE GUM AVE
MODESTO, CA 95358
Technician
2215 BLUE GUM AVE
MODESTO, CA 95358
Marriage & Family Therapist
2215 BLUE GUM AVE
MODESTO, CA 95358

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricardo Maravilla-garcia's NPI number?

The NPI number for Ricardo Maravilla-garcia is 1073176566. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Where is Ricardo Maravilla-garcia located?

Ricardo Maravilla-garcia practices at 2215 Blue Gum Ave, Modesto, CA 95358. The listed phone number is (209) 525-5401.

What is Ricardo Maravilla-garcia's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ricardo Maravilla-garcia was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.