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JACOB HODGES
NPI 1902494347
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since December 31, 2020
4545 GEORGETOWN PL STE D, STOCKTON, CA 95207(209) 639-4733 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 25, 2025, Dec 7, 2021, Dec 31, 2020 (3 updates tracked since 2020).

About Jacob Hodges NPPES

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

JACOB HODGES (NPI 1902494347) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1902494347
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB HODGES
Location Address4545 GEORGETOWN PL STE DStockton, CA 95207-6229
Mailing Address4545 Georgetown Pl Ste DStockton, CA 95207-6229 · (209) 639-4733
Phone(209) 639-4733
Sole ProprietorNo
Enumeration DateDecember 31, 2020
Last NPPES UpdateOctober 24, 20253 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1902494347 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 ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
4545 GEORGETOWN PL STE D, Stockton, CA 95207
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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.

MISTY CAMARILLO
Licensed Vocational Nurse
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
ALENA BIRD LPT
Licensed Psychiatric Technician
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
KATEMA BAILEY
Case Manager/Care Coordinator
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
ALEXIS HERRINGTON
Case Manager/Care Coordinator
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
JASMINE WHITE
Licensed Vocational Nurse
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
ALDO ZENDEJAS MONROY
Social Worker (Clinical)
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
MARISOL GRANADOS VILLAGRAN
Licensed Psychiatric Technician
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
BRITTANY FLOYD-BROOKS
Community Health Worker
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587

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 Jacob Hodges's NPI number?

The NPI number for Jacob Hodges is 1902494347. It was assigned to this individual provider in the NPPES registry on December 31, 2020.

Where is Jacob Hodges located?

Jacob Hodges practices at 4545 Georgetown Pl Ste D, Stockton, CA 95207. The listed phone number is (209) 639-4733.

What is Jacob Hodges'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 Jacob Hodges was last updated on October 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.