SYDNEY FLORES FONTANARES


Address: 2506 Logsden Way, San Jose, CA 95122-1050
Phone: 4085934092

SYDNEY FLORES FONTANARES (NPI# 1518243369) 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) 1518243369
Entity Type Individual
Full Name SYDNEY FLORES FONTANARES
Other Name SYDNEY FLORES
Practice Address 2506 Logsden Way
San Jose
CA 95122-1050
Practice Telephone 4085934092
Mailing Telephone 4085934092
Enumeration Date 2011-10-25
Last Update Date 2019-04-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY29742 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
815 Buena Vista Ave W, San Francisco, CA 941174108 4155541450

Office Location

Street Address 2506 LOGSDEN WAY
City SAN JOSE
State CA
Zip Code 95122-1050

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1942762299 Dr. Danessa Mayo, Phd Psychologist 1190 Lincoln Ave Ste 7, San Jose, CA 95125-3036 2019-04-04
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1306243530 Kell Fujimoto Psychologist 2845 Moorpark Ave, Suite 203, San Jose, CA 95128-3158 2014-12-03
1174964092 Brandi Marche Brooks Psychologist 1866 Half Pence Way, San Jose, CA 95132 2013-07-08
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1639433709 Janice Jaishika Raj Psychologist 2400 Moorpark Ave., #300, San Jose, CA 95128 2012-07-03
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Competitor

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City SAN JOSE
Zip Code 95122

Improve Information

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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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