Jennifer Cabral
Individual provider Active NPI Community Health Worker · Pacoima, CA
NPI 1861263733 · NPPES record last updated Jan 11, 2024
Key facts
- NPI
- 1861263733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 12450 Van Nuys Blvd Ste 200
Pacoima, CA 91331-1393 - Phone
- (818) 896-1161
- NPI assigned
- Jan 10, 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
12450 Van Nuys Blvd Ste 200
Pacoima, CA 91331-1393
Mailing address
12450 Van Nuys Blvd Ste 200
Pacoima, CA 91331-1393
Phone (818) 896-1161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6758 | Medicaid | CA | |
| 1954 | Medicaid | CA | |
| 7068 | Medicaid | CA | |
| 7420 | Medicaid | CA |
Other providers in Pacoima, CA
- Christine Buda
- Minh Thi Bui
- Tammy M. Burgin
- Latonya Burnell
- Irma F Bustamante
- Paloma Cabral
- California Treatment Center
- Blanca Margarita Calito
- Gisela Olivia Calzadillas
- Ashley Cameron
All providers in Pacoima, 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 11, 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.