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

Joeray Thavone Moan

Individual provider Peer Specialist · NPI 1457226474

Joeray Thavone Moan is a Peer Specialist in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

105 S San Joaquin St
Stockton, CA 95202-3206
Phone: (209) 953-5466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-VTKGXI (CA)
Community Health Worker Taxonomy 172V00000X (CA)

Record details

NPI number1457226474
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 8, 2025
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address105 S San Joaquin St, Stockton, CA 95202-3206

Other providers in Stockton