WAYNE B RICHARDSON
NPI 1225300692
Substance Abuse Rehabilitation Facility in Stockton, CA

Active since February 01, 2012
503 S PERSHING AVE, STOCKTON, CA 95203(209) 810-5864 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wayne B Richardson NPPES

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

WAYNE B RICHARDSON (NPI 1225300692) is an individual substance abuse rehabilitation facility provider in Stockton, California and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1225300692
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameWAYNE B RICHARDSON
Location Address503 S PERSHING AVEStockton, CA 95203-3236
Mailing Address3120 E Anita StStockton, CA 95205-3905 · (209) 415-0315
Sole ProprietorYes
Enumeration DateFebruary 1, 2012
Last NPPES UpdateMay 9, 2025
NPPES CertifiedMay 9, 2025
NPI 1225300692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

503 S PERSHING AVE, Stockton, CA 95203

Other Names 1

Professional Name (2)Wayne Richardson

Other Providers at the Same Location NPPES 10

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

Counselor (Addiction (Substance Use Disorder))
503 S PERSHING AVE
STOCKTON, CA 95203
Counselor (Addiction (Substance Use Disorder))
503 S PERSHING AVE
STOCKTON, CA 95203
Counselor (Addiction (Substance Use Disorder))
503 S PERSHING AVE
STOCKTON, CA 95203
Counselor (Addiction (Substance Use Disorder))
503 S PERSHING AVE
STOCKTON, CA 95203
Counselor (Addiction (Substance Use Disorder))
503 S PERSHING AVE
STOCKTON, CA 95203
Counselor (Addiction (Substance Use Disorder))
503 S PERSHING AVE
STOCKTON, CA 95203
Counselor (Addiction (Substance Use Disorder))
503 S PERSHING AVE
STOCKTON, CA 95203
Counselor (Addiction (Substance Use Disorder))
503 S PERSHING AVE
STOCKTON, CA 95203

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 Wayne Richardson's NPI number?

The NPI number for Wayne Richardson is 1225300692. It was assigned to this individual provider in the NPPES registry on February 1, 2012.

Where is Wayne Richardson located?

Wayne Richardson practices at 503 S Pershing Ave, Stockton, CA 95203. The listed phone number is (209) 810-5864.

What is Wayne Richardson's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Wayne Richardson was last updated on May 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.