Eneyda Yulisa Cifuentes

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

30 Professional Center Pkwy
San Rafael, CA 94903-2757

Phone

(707) 684-9622

NPI assigned

Aug 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1104592922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 GOLF LINKS RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054124",
            "telephone_number": "510-317-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROFESSIONAL CENTER PKWY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032757",
            "telephone_number": "707-684-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Wikiup Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031375",
            "country_code": "US",
            "telephone_number": "707-684-9622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2245 Challenger Way",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954075418",
            "country_code": "US",
            "telephone_number": "707-565-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIFUENTES",
        "first_name": "ENEYDA",
        "middle_name": "YULISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy T. Chung, MD
• Taeho L Chung, JD
• Trudi Chwialkowski
• Catherine Cicotte, R.N., M.F.T.
• Luz Cifuentes Perez
• Jordi Cifuentes
• Melissa Cinko
• Cinssa Counseling Center, Inc
• Cinssa Counseling Center, Inc
• Michael Adam Ciranni, M.D., PH.D.

• Rehabilitation Practitioner in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.