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MICHELLE DESTARAC
NPI 1275768681
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since May 29, 2009
1111 N EL DORADO ST, STOCKTON, CA 95202(209) 938-0228(209) 983-0281 Get Directions Write a Review

NPPES record last updated: May 29, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michelle Destarac NPPES

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

MICHELLE DESTARAC (NPI 1275768681) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1275768681
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMICHELLE DESTARAC
Location Address1111 N EL DORADO STStockton, CA 95202-1305
Mailing Address1111 N El Dorado StStockton, CA 95202-1305 · (209) 938-0228 · Fax (209) 983-0281
Phone(209) 938-0228
Fax(209) 983-0281
Sole ProprietorNo
Enumeration DateMay 29, 2009
✔ NPI 1275768681 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.

1111 N EL DORADO ST, Stockton, CA 95202
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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.

MR. DA HER
Clinic/Center (Methadone)
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
CHRISTIE YBARRA LAWRENCE NONE
Clinic/Center
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
JERRY F LEANDADO LVN
Clinic/Center (Ambulatory Surgical)
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
MR. PHILLIP YASUO YOSHIMURA I PA-C
Physician Assistant
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
MISS RAMONA IGNACIO SALCEDO SUBSTANCE COUNSELOR
Clinic/Center
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
MR. DENG VUE COUNSELOR
Clinic/Center (Methadone)
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
MS. DONALEE KAY BATES
Clinic/Center
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
PAO CHOUA VANG
Clinic/Center (Methadone)
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228

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 Michelle Destarac's NPI number?

The NPI number for Michelle Destarac is 1275768681. It was assigned to this individual provider in the NPPES registry on May 29, 2009.

Where is Michelle Destarac located?

Michelle Destarac practices at 1111 N El Dorado St, Stockton, CA 95202. The listed phone number is (209) 938-0228.

What is Michelle Destarac'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 Michelle Destarac was last updated on May 29, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.