PHILLA OR CMPSS
NPI 1225989718
Peer Specialist in Stockton, CA
- Individual
- Male
- Peer Specialist
About PHILLA OR
This page provides the complete NPI Profile along with additional information for Philla Or, a provider established in Stockton, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1225989718 assigned on February 2026. The practitioner's primary taxonomy code is 175T00000X with license number MPSS-CSRTYH (CA). The provider is registered as an individual and his NPI record was last updated February 2026.
- NPI
- 1225989718 Verify this NPI
- Provider Name
- PHILLA OR CMPSS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 333 N SAN JOAQUIN ST STOCKTON, CA 95202
- Location Phone
- (209) 683-9300
- Mailing Address
- 246 W MAGNOLIA ST STOCKTON, CA 95203
- Mailing Phone
- (209) 683-9300
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-09-2026
- Last Update Date
- 02-09-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- MPSS-CSRTYH
- License State
- CA
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225989718, enumerated as an "individual" on February 09, 2026.
The provider is located at 333 N SAN JOAQUIN ST STOCKTON, CA 95202 and the phone number is (209) 683-9300.
Peer Specialist with taxonomy code 175T00000X.