Yvonne Stacy Adams Shepard

Individual provider Active NPI Case Manager/Care Coordinator · San Pablo, CA

NPI 1861666752 · NPPES record last updated Apr 22, 2008

Key facts

NPI
1861666752
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
13201 San Pablo Ave Ste 105
San Pablo, CA 94806-3956
Phone
(925) 943-2750
Fax
(925) 313-6188
NPI assigned
Apr 22, 2008
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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

13201 San Pablo Ave Ste 105
San Pablo, CA 94806-3956

Mailing address

13201 San Pablo Ave Ste 105
San Pablo, CA 94806-3956
Phone (925) 943-2750

Other providers in San Pablo, CA

All providers in San Pablo, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.