Regina Nicole Avila

Individual provider Active NPI Community Health Worker · Carpinteria, CA

NPI 1265296396 · NPPES record last updated Feb 21, 2024

Key facts

NPI
1265296396
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
1483 Alva St
Carpinteria, CA 93013-1501
Phone
(805) 566-0299
NPI assigned
Feb 8, 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 Yes
Mental Health Counselor 101YM0800X CA

Addresses

Primary practice location

1483 Alva St
Carpinteria, CA 93013-1501

Mailing address

1483 Alva St
Carpinteria, CA 93013-1501
Phone (805) 566-0299

Other providers in Carpinteria, CA

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

Sources for this page

Verify at the official NPI Registry.