Individual provider · Type 1 NPI

Michael Tabangcura

Peer Specialist · Stockton, CA

NPI number 1154745511 Active

Practice location

5405 N Pershing Ave, Suite C1
Stockton, CA 95207-5451

Call (209) 476-1959 Map

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist 373H00000XNone listed
Peer Specialist Primary 175T00000XMPSS-BUXPEH (CA)

Peer Specialist: 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.

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About NPI 1154745511

Michael Tabangcura's National Provider Identifier is 1154745511, issued on Feb 5, 2014. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Stockton, CA. The record was last updated on Jul 9, 2025.