Isabella Rose Acevedo

Individual provider Active NPI Community Health Worker · Martinez, CA

NPI 1124861950 · NPPES record last updated Jun 18, 2024

Key facts

NPI
1124861950
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
300 Ilene St
Martinez, CA 94553-2631
Phone
(925) 655-0560
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CA Yes

Addresses

Primary practice location

300 Ilene St
Martinez, CA 94553-2631

Mailing address

2220 Hickory Dr
Concord, CA 94520-1726

Other providers in Martinez, CA

All providers in Martinez, CA · Community Health Worker in California

Sources for this page

Verify at the official NPI Registry.