Individual provider Active NPI

Alyssa J Deneal

  • Peer Specialist
  • Fremont, CA
National Provider Identifier
1053958462
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
39465 Paseo Padre Pkwy Ste 2100
Fremont, CA 94538-1624
Phone
(510) 745-9151
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

39465 Paseo Padre Pkwy Ste 2100
Fremont, CA 94538-1624

Mailing address

39465 Paseo Padre Pkwy Ste 2100
Fremont, CA 94538-1624
Phone (510) 745-9151

Other practice location 1

5776 Stoneridge Mall Rd
Pleasanton, CA 94588-2832
Phone (925) 223-8047

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL adeneal@humecenter.org

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1053958462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39465 PASEO PADRE PKWY STE 2100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381624",
            "telephone_number": "510-745-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39465 PASEO PADRE PKWY STE 2100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381624",
            "telephone_number": "510-745-9151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5776 Stoneridge Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945882832",
            "country_code": "US",
            "telephone_number": "925-223-8047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENEAL",
        "first_name": "ALYSSA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "adeneal@humecenter.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "39465 Paseo Padre Pkwy Ste 2100",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945381624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.