MR. ALBERTO JAVIER SANTELLAN


Address: 114 Toyon Ave, South San Francisco, CA 94080-4541
Phone: 6504386195

MR. ALBERTO JAVIER SANTELLAN (NPI# 1073912846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073912846
Entity Type Individual
Full Name MR. ALBERTO JAVIER SANTELLAN
Credential M.A.
Practice Address 114 Toyon Ave
South San Francisco
CA 94080-4541
Practice Telephone 6504386195
Mailing Telephone 6504386195
Enumeration Date 2014-08-18
Last Update Date 2014-08-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Office Location

Street Address 114 TOYON AVE
City SOUTH SAN FRANCISCO
State CA
Zip Code 94080-4541

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1720594294 Patricia Lynn Jasper Nurse Practitioner 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 2017-12-20
1184146755 Breanne Ho Student in an Organized Health Care Education/Training Program 130 Nursery Way, South San Francisco, CA 94080 2017-07-14
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1720479553 Naf Nasser Almadari Physician Assistant 717 Baden Ave, San Francisco, CA 94080 2015-02-16
1528459351 Alexander M Gold Internal Medicine 270 East Grand Avenue, South San Francisco, CA 94080 2015-02-16
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669019360 Bay Area Community Services, Inc. Community Based Residential Treatment Facility, Mental Illness 314 Baden Ave, South San Francisco, CA 94080-4715 2019-12-02

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1497356075 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 405 N Tremont St, Oceanside, CA 92054-2535 2020-11-02
1467053041 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 2020-11-02
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1477151199 Inspiring Pathways, Inc. Community Based Residential Treatment Facility, Mental Illness 1798 Bryman St, Hanford, CA 93230-7144 2020-10-14
1356949226 Wings Recovery Center, Inc. Community Based Residential Treatment Facility, Mental Illness 3134 Morningside Dr, Oceanside, CA 92056-4401 2020-10-13
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Competitor

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City SOUTH SAN FRANCISCO
Zip Code 94080

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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