John Matthew Adriatico
Individual provider Active NPI Community Health Worker · Covina, CA
NPI 1366940611 · NPPES record last updated Jan 31, 2018
Key facts
- NPI
- 1366940611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1359 N Grand Ave
Covina, CA 91724-1016 - Phone
- (626) 430-2854
- NPI assigned
- Jan 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
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
1359 N Grand Ave
Covina, CA 91724-1016
Mailing address
1359 N Grand Ave
Covina, CA 91724-1016
Other providers in Covina, CA
- Jaydin Tianah Adams
- Natalie Marie Adams
- Nicolle Adams
- Bemi Adefowora
- Adib H Bitar MD,Inc.
- Advanced Business Enterprise
- Roseline Modupe Afolayan
- Scott Agreen
- Christel Ann Agtina
- Dennin A Aguayo Merino
All providers in Covina, 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 Jan 31, 2018. 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.