1. Home
  2. Directory
  3. California
  4. Stockton
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

RAVEN JEWEL BRESHEARS
NPI 1811677552
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since July 18, 2023
430 N PILGRIM ST, STOCKTON, CA 95205(209) 466-0853 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2025, May 15, 2025, Sep 7, 2023 and 1 more (4 updates tracked since 2023).

About Raven Jewel Breshears NPPES

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

RAVEN JEWEL BRESHEARS (NPI 1811677552) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1811677552
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRAVEN JEWEL BRESHEARS
Location Address430 N PILGRIM STStockton, CA 95205-4428
Mailing Address430 N Pilgrim StStockton, CA 95205-4428
Phone(209) 466-0853
Sole ProprietorNo
Enumeration DateJuly 18, 2023
Last NPPES UpdateOctober 9, 20254 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1811677552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
430 N PILGRIM ST, Stockton, CA 95205
Open in Google Maps ↗

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.

MARIAH EVA MARIE MARTINEZ
Counselor (Mental Health)
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
NOLENA MARIE SELLEK
Student in an Organized Health Care Education/Training Program
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 395-3077
MARY-JANE LANSANA
Student in an Organized Health Care Education/Training Program
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
BREANNA VAN PERNIS
Community Health Worker
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
DORIS ALIN CHAVEZ UGALDE
Student in an Organized Health Care Education/Training Program
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
NICOLE RANE COWAN
Marriage & Family Therapist
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
MARC ANAYA
Counselor (Professional)
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
STEPHANIE LOPEZ
Marriage & Family Therapist
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853

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 Raven Breshears's NPI number?

The NPI number for Raven Breshears is 1811677552. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Raven Breshears located?

Raven Breshears practices at 430 N Pilgrim St, Stockton, CA 95205. The listed phone number is (209) 466-0853.

What is Raven Breshears's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Raven Breshears was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.