Alicia Almeida Bolanos

Individual provider Active NPI Community Health Worker · Jurupa Valley, CA

NPI 1730075615 · NPPES record last updated Jun 16, 2025

Key facts

NPI
1730075615
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
8279 Miramar Cir
Jurupa Valley, CA 92509-4080
Phone
(323) 697-5127
NPI assigned
Jun 16, 2025
Sex
Female
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 Health Worker 172V00000X Yes

Addresses

Primary practice location

8279 Miramar Cir
Jurupa Valley, CA 92509-4080

Mailing address

8279 Miramar Cir
Jurupa Valley, CA 92509-4080
Phone (323) 697-5127

Other providers in Jurupa Valley, CA

All providers in Jurupa Valley, CA · Community Health Worker in California

Sources for this page

Verify at the official NPI Registry.