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MR. BRIAN ALLAN DEAVER SUDRC
NPI 1295589877
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Active since April 11, 2024
102 W BIANCHI RD, STOCKTON, CA 95207(209) 451-3628 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brian Allan Deaver Sudrc NPPES

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

MR. BRIAN ALLAN DEAVER SUDRC (NPI 1295589877) is an individual addiction (substance use disorder) provider in Stockton, California and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1295589877
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. BRIAN ALLAN DEAVERCredential: SUDRC
Location Address102 W BIANCHI RDStockton, CA 95207-7132
Mailing Address102 W Bianchi RdStockton, CA 95207-7132 · (209) 451-3628
Phone(209) 451-3628
Sole ProprietorYes
Enumeration DateApril 11, 2024
NPPES CertifiedApril 11, 2024
✔ NPI 1295589877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
102 W BIANCHI RD, Stockton, CA 95207
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Other Providers at the Same Location NPPES 5

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

JOSE LUIS HERNANDEZ JR.
Counselor (Addiction (Substance Use Disorder))
102 W BIANCHI RD
STOCKTON, CA 95207
San Joaquin County (209) 451-3628
SHARON SIMAS
Counselor (Addiction (Substance Use Disorder))
102 W BIANCHI RD
STOCKTON, CA 95207
San Joaquin County (209) 644-6320
MR. DAVID MICHAEL VANNUCCI PTA
Physical Therapy Assistant
102 W BIANCHI RD
STOCKTON, CA 95207
San Joaquin County (209) 644-4808
SERVICE FIRST OF NORTHERN CALIFORNIA
Physical Therapist
102 W BIANCHI RD
STOCKTON, CA 95207
San Joaquin County (209) 644-6300
MRS. NADIA ELIZABETH MARTIN P.T.
Physical Therapist
102 W BIANCHI RD
STOCKTON, CA 95207
San Joaquin County (209) 644-4808

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 Brian Deaver's NPI number?

The NPI number for Brian Deaver is 1295589877. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Brian Deaver located?

Brian Deaver practices at 102 W Bianchi Rd, Stockton, CA 95207. The listed phone number is (209) 451-3628.

What is Brian Deaver's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Brian Deaver was last updated on April 11, 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.