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

Moses Pacheco III

Individual provider Professional Counselor · NPI 1366845232

Moses Pacheco III is a Marriage and Family Therapist in Stockton, California. Qualified in 2014, 12 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

1305 Tommydon St
Stockton, CA 95210-3364
Phone: (209) 476-5143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 127871 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 123462 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366845232
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2014
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address7373 West Ln, Stockton, CA 95210-3377

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stockton