Omar Alcantar

Individual provider Active NPI Community/Behavioral Health Agency · Salinas, CA

NPI 1487021804 · NPPES record last updated Sep 2, 2015

Key facts

NPI
1487021804
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
339 Pajaro St. Suite D
Salinas, CA 93901
Phone
(831) 800-7530
Fax
(831) 975-5862
NPI assigned
Sep 2, 2015
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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

339 Pajaro St. Suite D
Salinas, CA 93901

Mailing address

339 Pajaro St. Suite D
Salinas, CA 93901
Phone (831) 800-7530

Other providers in Salinas, CA

All providers in Salinas, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.