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

Jacob Hodges

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902494347

Jacob Hodges is a Student in an Organized Health Care Education/Training Program in Stockton, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

4545 Georgetown Pl Ste D
Stockton, CA 95207-6229
Phone: (209) 639-4733
Show map & directions

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 (CA)
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1902494347
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 31, 2020
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

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