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DEMARCO MIXON
NPI 1336644533
Day Training/Habilitation Specialist in Stockton, CA

Active since March 28, 2018
620 N AURORA ST STE 1, STOCKTON, CA 95202(209) 468-9370 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Feb 13, 2025, Apr 2, 2024 and 1 more (4 updates tracked since 2018).

About Demarco Mixon NPPES

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

DEMARCO MIXON (NPI 1336644533) is an individual day training/habilitation specialist in Stockton, California and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1336644533
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameDEMARCO MIXON
Location Address620 N AURORA ST STE 1Stockton, CA 95202-2276
Mailing Address14895 E 14th St Ste 465San Leandro, CA 94578-2989 · (510) 346-7100 · Fax (510) 346-7101
Phone(209) 468-9370
Sole ProprietorYes
Enumeration DateMarch 28, 2018
Last NPPES UpdateJune 3, 20254 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1336644533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
620 N AURORA ST STE 1, 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.

BRETT KELEHER
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
ADAM HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
ERRIN LOEURN
Day Training/Habilitation Specialist
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-9600
MRS. SHELLY D LAACK
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
STEVI PERRICHON
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
MR. JOSEPH CORDOVA
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-2332
MRS. TINA JEANETTE VILLAGOMEZ
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 953-7302
MR. LARRY AMOUR WILLIAMS
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 953-7304

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 Demarco Mixon's NPI number?

The NPI number for Demarco Mixon is 1336644533. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Demarco Mixon located?

Demarco Mixon practices at 620 N Aurora St Ste 1, Stockton, CA 95202. The listed phone number is (209) 468-9370.

What is Demarco Mixon's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Demarco Mixon was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.