Alma Villanueva Custodio Climo, MT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

1999-004174 Issued in CA

Practice address

3384 Lloyd St
San Diego, CA 92117-6038

Phone

(619) 288-5825

NPI assigned

May 26, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1861785636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012382",
            "telephone_number": "619-288-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3384 LLOYD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176038",
            "telephone_number": "619-288-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIMO",
        "first_name": "ALMA",
        "middle_name": "VILLANUEVA CUSTODIO",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "1999-004174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny T Clifford, M.D.
• John W. Clifford, MD
• Stacy Clifford, IBCLC
• Cynthia Clifton
• Kimberly Ann Clifton, RNC, MSN, NNP
• Ashley Lauren Cline, LCSW
• Dawn M Cline
• Jack Byron Cline, LVN
• Lauren Re Cline, PHARMD
• Lizelle Anne Cline, LCSW

• Community Health Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.