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MUACONG MARTIN LO MENTAL HEALTH
NPI 1689300857
Licensed Psychiatric Technician in Stockton, CA

Active since July 28, 2022
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8661 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 22, 2023, Jul 28, 2022 (2 updates tracked since 2022).

About Muacong Martin Lo Mental Health NPPES

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

MUACONG MARTIN LO MENTAL HEALTH (NPI 1689300857) is an individual licensed psychiatric technician in Stockton, California, licensed in California (42402) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1689300857
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameMUACONG MARTIN LOCredential: MENTAL HEALTH
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-8661
Phone(209) 468-8661
Sole ProprietorNo
Enumeration DateJuly 28, 2022
Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
✔ NPI 1689300857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 42402
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
1212 N CALIFORNIA 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.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
PENNY GIBBONS BURKE RPH
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8711
DOLORIS MOODY
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
MS. DELIA ORDAZ RN
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-3760
DONNA L BICKHAM ACSW
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7313
RITA N. MENDOZA
Technician, Other
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8718
MR. KENNETH RAY COCIO
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
ANDREA MICHELLE HERNANDEZ
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8686

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 Muacong Lo's NPI number?

The NPI number for Muacong Lo is 1689300857. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Muacong Lo located?

Muacong Lo practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-8661.

What is Muacong Lo's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Muacong Lo was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.