Active NPI
Alyssa J Deneal
- Peer Specialist
- Fremont, CA
National Provider Identifier
1053958462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.