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JOHNMARK VANNESS II
NPI 1679237861
Counselor - Professional in Stockton, CA

Active since October 25, 2021
4545 GEORGETOWN PL, STOCKTON, CA 95207(209) 955-1139(209) 955-1143 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2023, May 2, 2023, Oct 17, 2022 and 1 more (4 updates tracked since 2022).

About Johnmark Vanness Ii NPPES

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

JOHNMARK VANNESS II (NPI 1679237861) is an individual professional provider in Stockton, California, licensed in California (13809) and active in the NPI registry since October 2021. He maintains a secondary practice location in Stockton.

NPPES Registry Identity

NPI1679237861
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHNMARK VANNESS II
Location Address4545 GEORGETOWN PLStockton, CA 95207-6215
Mailing Address3818 Scottsdale RdLodi, CA 95240-6805
Phone(209) 955-1139
Fax(209) 955-1143
Sole ProprietorYes
Enumeration DateOctober 25, 2021
Last NPPES UpdateJanuary 8, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2024
✔ NPI 1679237861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 13809
4545 GEORGETOWN PL, Stockton, CA 95207
Open in Google Maps ↗

Secondary Practice Location 1

Location 1430 N Pilgrim StStockton, CA 95205-4428 · Phone (209) 466-0853

Other Identifiers 1

Medicaid200806425CA

Other Providers at the Same Location NPPES 16

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

DINA LAY
Day Training/Habilitation Specialist
4545 GEORGETOWN PL
STOCKTON, CA 95207
San Joaquin County (209) 200-7076
WALKER CHIROPRACTIC, INC.
Chiropractor
4545 GEORGETOWN PL, SUITE A7
STOCKTON, CA 95207
San Joaquin County (209) 951-3001
DR. TOAN HUNG TRAN M.D.
General Practice
4545 GEORGETOWN PL, C16
STOCKTON, CA 95207
San Joaquin County (209) 957-0641
MR. JUDY L HALLISEY MFT
Marriage & Family Therapist
4545 GEORGETOWN PL
STOCKTON, CA 95207
San Joaquin County (209) 953-8900
MR. MANUEL CRUZ DOMINGUEZ JR.
Counselor (Mental Health)
4545 GEORGETOWN PL, SUITE A3
STOCKTON, CA 95207
San Joaquin County (209) 955-1139
TRAN TRAN
Licensed Vocational Nurse
4545 GEORGETOWN PL, A3
STOCKTON, CA 95207
San Joaquin County (209) 955-1139
TELECARE CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
4545 GEORGETOWN PL, SUITE D AND E-28
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
LYNELL BENNETT YOUNGBLOOD BA, CADCII, NCACII
Counselor (Addiction (Substance Use Disorder))
4545 GEORGETOWN PL, STE F-36
STOCKTON, CA 95207
San Joaquin County (209) 953-8900

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 Johnmark Vanness's NPI number?

The NPI number for Johnmark Vanness is 1679237861. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Johnmark Vanness located?

Johnmark Vanness practices at 4545 Georgetown Pl, Stockton, CA 95207. The listed phone number is (209) 955-1139.

What is Johnmark Vanness's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Johnmark Vanness was last updated on January 8, 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.