Falisha Patterson

Individual provider Active NPI Community Health Worker · San Bernardino, CA

NPI 1619790573 · NPPES record last updated Nov 7, 2024

Key facts

NPI
1619790573
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
805 N D St
San Bernardino, CA 92401-1017
Phone
(909) 893-2782
Fax
(909) 383-1331
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Vision Youth Community Health Worker Past
since Nov 8, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

805 N D St
San Bernardino, CA 92401-1017

Mailing address

805 N D St
San Bernardino, CA 92401-1017
Phone (909) 893-2782

Other providers in San Bernardino, CA

All providers in San Bernardino, CA · Community Health Worker in California

Sources for this page

Verify at the official NPI Registry.