Jesus Barraza
Individual provider Active NPI Community Health Worker · French Camp, CA
NPI 1366280877 · NPPES record last updated Jul 18, 2024
Key facts
- NPI
- 1366280877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 7224 S Recovery Rd
French Camp, CA 95231-8901 - Phone
- (209) 888-6596
- NPI assigned
- Jul 18, 2024
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
7224 S Recovery Rd
French Camp, CA 95231-8901
Mailing address
7224 S Recovery Rd
French Camp, CA 95231-8901
Phone (209) 888-6596
Other practice location 1
7236 S Recovery Rd
French Camp, CA 95231-8901
Phone (209) 888-6596
Other providers in French Camp, CA
- Cesfe Banola
- Loc Bao
- Karna Baraboo
- Tonya C Barnard
- Rebecca Barneson
- Randy Raymond Barretto
- Lauren Anne Barton
- Kanchan Basi
- Jason T Bass
- Sangita Batish
All providers in French Camp, CA · Community Health Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2024. 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.