Yesenia Avalos-Villanueva

Individual provider Active NPI Pharmacy Technician · Los Altos, CA

NPI 1043908320 · NPPES record last updated Apr 25, 2023

Key facts

NPI
1043908320
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
173767 (CA)
Practice address
2310 Homestead Rd
Los Altos, CA 94024-7339
Phone
(408) 774-0134
Fax
(408) 774-9594
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
173767CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past
since Apr 30, 2023
Accepting new patients
Thrifty Payless Inc Past
since Apr 30, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 173767 CA Yes

Addresses

Primary practice location

2310 Homestead Rd
Los Altos, CA 94024-7339

Mailing address

10081 Lyndale Ave
San Jose, CA 95127-3728
Phone (669) 350-6375

Other providers in Los Altos, CA

All providers in Los Altos, CA · Pharmacy Technician in California

Sources for this page

Verify at the official NPI Registry.