Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Devon Vivian Raymundo Doherty, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912694217

Devon Vivian Raymundo Doherty, DO is a Student in an Organized Health Care Education/Training Program in Stockton, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1800 N California St
Stockton, CA 95204-6019
Phone: (209) 547-7184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1912694217
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 18, 2023
Last updated in NPPESJune 16, 2024
Certification dateJune 16, 2024

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