Adilene Anaya Velazquez
Individual provider Active NPI Community Health Worker · San Luis Obispo, CA
NPI 1487400701 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1487400701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2925 McMillan Ave Ste 108
San Luis Obispo, CA 93401-6765 - Phone
- (805) 781-4948
- Fax
- (805) 781-4962
- NPI assigned
- Apr 26, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
2925 McMillan Ave Ste 108
San Luis Obispo, CA 93401-6765
Mailing address
2925 McMillan Ave Ste 108
San Luis Obispo, CA 93401-6765
Phone (805) 781-4948
Other providers in San Luis Obispo, CA
- Negar Amini
- Magena Claire Ammen
- Rianna K Amoy
- Amsurg San Luis Obispo Anesthesia, LLC
- Laura Beth Amy
- Jacqueline Jag Anaya
- Avery Anderson
- Buffy Anderson
- Jill Darline Anderson
- Melissa Anderson
All providers in San Luis Obispo, 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 1, 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.