MEDICARE: DOMINIC JULIAN ALFEREZ I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1134842149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOMINIC JULIAN ALFEREZ I

Provider Business Mailing Address
First Line	:	2291 W MARCH LN # B103
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95207-6652
Country	:	US
Telephone Number	:	916-729-3098
Fax Number	:

Provider Business Practice Location Address
First Line	:	1736 EAST AVE
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95205-3411
Country	:	US
Telephone Number	:	209-513-2808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2022
Last Update Date	:	09/23/2022

Similar Medicare Providers

1952256380 — NANCY NUNEZ
Practice Location Address:

2050 WEST LN
STOCKTON, CA
95205-3358

Practice Phone: 209-943-2389
Practice Fax:

1760337703 — JOANNA GALINDO
Practice Location Address:

1981 CHEROKEE RD
STOCKTON, CA
95205-2720

Practice Phone: 209-870-6500
Practice Fax:

1386596021 — SIERRA E.J. PASTOR
Practice Location Address:

430 N PILGRIM ST
STOCKTON, CA
95205-4428

Practice Phone: 209-466-0853
Practice Fax:

1821095704 — DR. MICHAEL JOHN CASTAGNO PHARM.D.
Practice Location Address:

1530 WATERLOO RD
STOCKTON, CA
95205-3738

Practice Phone: 209-466-2522
Practice Fax: 209-466-2589

1396720355 — DR. MAYNARD F. LANG M.D.
Practice Location Address:

782 EAST HARDING WAY
STOCKTON, CA
95205-6101

Practice Phone: 209-475-5500
Practice Fax: 209-466-1982

1659342905 — DR. GARY F MALET D.O.
Practice Location Address:

1508 WEST LN
STOCKTON, CA
95205-3340

Practice Phone: 209-948-2886
Practice Fax: 209-948-2831

Directions to “ DOMINIC JULIAN ALFEREZ I ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.