BERNEISE BILLOTE MONTUYA (NPI# 1316553951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316553951 |
| Entity Type | Individual |
| Full Name | BERNEISE BILLOTE MONTUYA |
| Practice Address |
1340 Tully Rd Ste 304 San Jose CA 95122-3055 |
| Mailing Address |
2797 Ronco Dr San Jose CA 95132-2739 |
| Practice Telephone | 4082713900 |
| Mailing Telephone | 4086610324 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CA | Other Service Providers |
| Street Address |
1340 TULLY RD STE 304 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95122-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326176116 | James Peter Keim | Social Worker | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2007-03-01 |
| 1720695711 | Jazmin Marie Salazar | Counselor | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-24 |
| 1760098925 | Boshan Zhao | Counselor | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-22 |
| 1477169191 | Silvia Vanessa Cortes Ramirez | Student in an Organized Health Care Education/Training Program | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-17 |
| 1851907562 | Lani Ngoc Hoang | Counselor | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-17 |
| 1265060651 | Perry Partlow | Case Manager/Care Coordinator | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-03-31 |
| 1689223109 | Christine Nguyen | Student in an Organized Health Care Education/Training Program | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2019-09-06 |
| 1205397106 | Nguon Doan Nguyen | Specialist | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2019-03-26 |
| 1730662339 | Alyson Le | Student in an Organized Health Care Education/Training Program | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2018-09-10 |
| 1376025254 | Daisy Lopez | Counselor | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
| 1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
| 1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
| 1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
| Find all providers in zip 95122 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609409473 | Julia Diane Helfrich | Peer Specialist | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2020-02-19 |
| 1891327102 | Salma Shaw | Peer Specialist | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-02-05 |
| 1982249785 | Sophia Chung | Peer Specialist | 800 N 1st St, San Jose, CA 95112-6312 | 2019-11-15 |
| 1447893490 | Melissa Elicia Cruz | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2019-10-22 |
| 1619529898 | Tatiana Victoria Goodwin | Peer Specialist | 298 Bernal Rd, San Jose, CA 95119-1809 | 2019-07-09 |
| 1356812747 | Shirley Jacqueline Reyes | Peer Specialist | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2018-12-10 |
| 1881194306 | Lohrie Arruiza | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2018-02-21 |
| 1477093219 | Victoria Cardenas | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2017-02-27 |
| 1871032524 | Alberto Ruiz | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2017-02-14 |
| 1720526601 | Stephen Gilligan Tull | Peer Specialist | 86 S 14th St, San Jose, CA 95112-2015 | 2017-02-10 |
| Find all providers in SAN JOSE | ||||
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| 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.