Gregory Donald Isom, is a
Day Training/habilitation Specialist based in Vallejo, California. Gregory Donald Isom is licensed to practice in * (Not Available) (license number ) and his current practice location is
160 Glen Cove Marina Rd E, Vallejo, California. He can be reached at his office (for appointments etc.) via phone at
(707) 648-2000.
NPI number for Gregory Donald Isom is 1619674868 and his current mailing address is 801 Greenmont Dr, Vallejo, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619674868.
Healthcare Provider's Profile
| Full Name | Gregory Donald Isom |
|---|
| Gender | Male |
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| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 160 Glen Cove Marina Rd E, Vallejo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619674868
- Provider Enumeration Date: 02/08/2023
- Last Update Date: 08/14/2025
Medical Identifiers
Medical identifiers for Gregory Donald Isom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619674868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | 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. Gregory Donald Isom 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 |
|---|
Gregory Donald Isom,
801 Greenmont Dr,
Vallejo, CA 94591-7642
Ph: (707) 205-6321 | Gregory Donald Isom,
160 Glen Cove Marina Rd E,
Vallejo, CA 94591-7290
Ph: (707) 648-2000 |
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