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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOERAY THAVONE MOAN
NPI 1457226474
Peer Specialist in Stockton, CA

Active since October 08, 2025
105 S SAN JOAQUIN ST, STOCKTON, CA 95202(209) 953-5466 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2026, Oct 8, 2025 (2 updates tracked since 2025).

About Joeray Thavone Moan NPPES

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

JOERAY THAVONE MOAN (NPI 1457226474) is an individual peer specialist in Stockton, California, licensed in California (MPSS-VTKGXI) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1457226474
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOERAY THAVONE MOAN
Location Address105 S SAN JOAQUIN STStockton, CA 95202-3206
Mailing Address105 S San Joaquin StStockton, CA 95202-3206 · (209) 953-5466
Phone(209) 953-5466
Sole ProprietorYes
Enumeration DateOctober 8, 2025
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1457226474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-VTKGXI
Definition
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.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
105 S SAN JOAQUIN ST, Stockton, CA 95202
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Other Providers at the Same Location NPPES 9

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

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
105 S SAN JOAQUIN ST
STOCKTON, CA 95202
San Joaquin County (209) 953-5466
PILAR YVETTE FARFAN
Counselor (Mental Health)
105 S SAN JOAQUIN ST
STOCKTON, CA 95202
San Joaquin County (209) 953-5451
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
105 S SAN JOAQUIN ST
STOCKTON, CA 95202
San Joaquin County (209) 953-5466
SAMUEL CHUKWUDI NWIGWE
Social Worker (Clinical)
105 S SAN JOAQUIN ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8143
APRIL C JENKINS
Peer Specialist
105 S SAN JOAQUIN ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7969
MS. VANESSA FELDER M.B.A., M.A.
Day Training/Habilitation Specialist
105 S SAN JOAQUIN ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7419
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
105 S SAN JOAQUIN ST
STOCKTON, CA 95202
San Joaquin County (209) 953-5466
JENNIFER LYNN HOWARD
Day Training/Habilitation Specialist
105 S SAN JOAQUIN ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7970

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 Joeray Moan's NPI number?

The NPI number for Joeray Moan is 1457226474. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Joeray Moan located?

Joeray Moan practices at 105 S San Joaquin St, Stockton, CA 95202. The listed phone number is (209) 953-5466.

What is Joeray Moan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Joeray Moan was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.