Andrea Y Ayala, SUDRC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pittsburg, CA
NPI 1356016752 · NPPES record last updated Aug 9, 2021
Key facts
- NPI
- 1356016752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 10053 (CA)
- Practice address
- 2 Davi Avenue
Pittsburg, CA 94565-3701 - Phone
- (925) 427-1384
- NPI assigned
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10053 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bi-Bett | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10053 | CA | Yes |
Addresses
Primary practice location
2 Davi Avenue
Pittsburg, CA 94565-3701
Mailing address
4167 Rita Dr
Martinez, CA 94553-1435
Phone (925) 339-0061
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aayala@bibett.org | Direct |
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All providers in Pittsburg, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.