Demarco Mixon, is a
Day Training/habilitation Specialist based in Stockton, California. Demarco Mixon is licensed to practice in California (license number ) and his current practice location is
620 N Aurora St Ste 1, Stockton, California. He can be reached at his office (for appointments etc.) via phone at
(209) 468-9370.
NPI number for Demarco Mixon is 1336644533 and his current mailing address is 14895 E 14th St Ste 465, San Leandro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336644533.
Healthcare Provider's Profile
| Full Name | Demarco Mixon |
|---|
| Gender | Male |
|---|
| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 620 N Aurora St Ste 1, Stockton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336644533
- Provider Enumeration Date: 03/28/2018
- Last Update Date: 06/03/2025
Medical Identifiers
Medical identifiers for Demarco Mixon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336644533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Demarco Mixon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Demarco Mixon,
14895 E 14th St Ste 465,
San Leandro, CA 94578-2989
Ph: (510) 346-7100 | Demarco Mixon,
620 N Aurora St Ste 1,
Stockton, CA 95202-2276
Ph: (209) 468-9370 |
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