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RENATO JEREMY BALDERAMA
NPI 1114780269
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since February 01, 2024
3601 PACIFIC AVE, STOCKTON, CA 95211(209) 946-2588 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renato Jeremy Balderama NPPES

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

RENATO JEREMY BALDERAMA (NPI 1114780269) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1114780269
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRENATO JEREMY BALDERAMA
Location Address3601 PACIFIC AVEStockton, CA 95211-0110
Mailing Address2190 Mill RdNovato, CA 94947-3743
Phone(209) 946-2588
Sole ProprietorYes
Enumeration DateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1114780269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3601 PACIFIC AVE, Stockton, CA 95211
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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.

MS. HOLLY AYN WHITE
Counselor
3601 PACIFIC AVE
STOCKTON, CA 95211
San Joaquin County (209) 946-2132
SPENCER BROOKS GAUERT
Student in an Organized Health Care Education/Training Program
3601 PACIFIC AVE, PSYCHOLOGY DEPARTMENT
STOCKTON, CA 95211
San Joaquin County (209) 946-2132
DAYANNARA DENISE HERNANDEZ
Day Training/Habilitation Specialist
3601 PACIFIC AVE
STOCKTON, CA 95211
San Joaquin County (209) 464-5519
VALERY GRIS GUTIERREZ
Specialist/Technologist (Athletic Trainer)
3601 PACIFIC AVE
STOCKTON, CA 95211
San Joaquin County (209) 946-2982
HOWARD H. CHI D.M.D.
Dentist
3601 PACIFIC AVE
STOCKTON, CA 95211
San Joaquin County (209) 946-7404
BREANNA MOREIRA
Student in an Organized Health Care Education/Training Program
3601 PACIFIC AVE
STOCKTON, CA 95211
San Joaquin County (202) 464-5519
JUSTICE ROQUE
Day Training/Habilitation Specialist
3601 PACIFIC AVE
STOCKTON, CA 95211
San Joaquin County (209) 476-1959
SARA VARGAS ATC
Specialist/Technologist (Athletic Trainer)
3601 PACIFIC AVE, PACIFIC ATHLETIC DEPARTMENT
STOCKTON, CA 95211
San Joaquin County (209) 946-2588

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 Renato Balderama's NPI number?

The NPI number for Renato Balderama is 1114780269. It was assigned to this individual provider in the NPPES registry on February 1, 2024.

Where is Renato Balderama located?

Renato Balderama practices at 3601 Pacific Ave, Stockton, CA 95211. The listed phone number is (209) 946-2588.

What is Renato Balderama's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Renato Balderama was last updated on February 1, 2024. 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.