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EUGENE AVILLA
NPI 1073396560
Peer Specialist in Stockton, CA

Active since August 17, 2023
1414 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-2385 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2025, Oct 16, 2023, Aug 17, 2023 (3 updates tracked since 2023).

About Eugene Avilla NPPES

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

EUGENE AVILLA (NPI 1073396560) is an individual peer specialist in Stockton, California, licensed in California (MPSS-VPRIOQ) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1073396560
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameEUGENE AVILLA
Location Address1414 N CALIFORNIA STStockton, CA 95202-1515
Mailing Address1414 N California StStockton, CA 95202-1515 · (209) 468-2385
Phone(209) 468-2385
Sole ProprietorNo
Enumeration DateAugust 17, 2023
Last NPPES UpdateMay 30, 20253 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1073396560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-VPRIOQ
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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1414 N CALIFORNIA ST, Stockton, CA 95202
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Other Names 1

Other Name (5)Gino Avila

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.

MARITZA JUACHE
Day Training/Habilitation Specialist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
JOSEPH MICHAEL JACKSON POINTON
Case Manager/Care Coordinator
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-1000
TRISTAN PATRICK SPAULDING
Community Health Worker
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
KEAR HENG NGAM
Counselor (Mental Health)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
MR. ADAM WILLIAM DIESTLER MFTI
Marriage & Family Therapist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
J WILLIAM WATKINS LPCC
Counselor (Professional)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
ADRIENNE PLEASANTS
Counselor (Mental Health)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7385
MR. JOSEPH KOZINA
Day Training/Habilitation Specialist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-4226

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 Eugene Avilla's NPI number?

The NPI number for Eugene Avilla is 1073396560. It was assigned to this individual provider in the NPPES registry on August 17, 2023. The provider is also known as Gino Avila.

Where is Eugene Avilla located?

Eugene Avilla practices at 1414 N California St, Stockton, CA 95202. The listed phone number is (209) 468-2385.

What is Eugene Avilla'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 Eugene Avilla was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.