CANDELARIA PODESTA (NPI# 1679768469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679768469 |
| Entity Type | Individual |
| Full Name | CANDELARIA PODESTA |
| Practice Address |
408 Tennessee St Vallejo CA 94590-4453 |
| Practice Telephone | 7076471520 |
| Mailing Telephone | 7076471520 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
408 TENNESSEE ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568526994 | Carol Osmer | Social Worker | 408 Tennessee St, Vallejo, CA 94590-4453 | 2006-12-20 |
| 1629479886 | Nicolas Townes | Counselor | 408 Tennessee St, Vallejo, CA 94590-4453 | 2014-09-08 |
| 1154660421 | Jennifer Kate Coggburn | Counselor | 408 Tennessee St, Vallejo, CA 94590-4453 | 2013-02-06 |
| 1609191675 | Youth and Family Services | Community/Behavioral Health | 408 Tennessee St, Vallejo, CA 94590-4453 | 2010-04-02 |
| 1699009936 | Christopher Jason Schalge | Student in an Organized Health Care Education/Training Program | 408 Tennessee St, Vallejo, CA 94590-4453 | 2009-09-18 |
| 1588813067 | Kateri Anne Chiu | Student in an Organized Health Care Education/Training Program | 408 Tennessee St, Vallejo, CA 94590-4453 | 2008-09-09 |
| 1659529444 | Richard Goodwin | Counselor | 408 Tennessee St, Vallejo, CA 94590 | 2008-09-04 |
| 1538316377 | Angeli Lucia Bueno | Counselor | 408 Tennessee St, Vallejo, CA 94590-4453 | 2008-08-22 |
| 1043497522 | Samuel Terrance Hargrove | Counselor | 408 Tennessee St, Vallejo, CA 94590-4453 | 2008-01-27 |
| 1164625034 | Aisha Jenkins | Counselor | 408 Tennessee St, Vallejo, CA 94590-4453 | 2007-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072302 | Imani Rivers | Counselor | 135 Gateway Ct, Vallejo, CA 94589-4339 | 2020-10-30 |
| 1942860267 | Enkindled Minds Counseling and Wellness | Counselor | 2507 Springs Rd, Vallejo, CA 94591-5612 | 2019-06-18 |
| 1689164311 | Karen Vanessa Alvarado | Counselor | 160 Glen Cove Marina Rd E, Vallejo, CA 94591-7290 | 2018-05-17 |
| 1154776052 | Robben Stallworth | Counselor | 312 Starboard Dr, Vallejo, CA 94590-4024 | 2016-04-28 |
| 1093176273 | Vincent Charles | Counselor | 236 Georgia St Ste 101, Vallejo, CA 94590-5962 | 2016-03-15 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1497132427 | Sierra Voss | Counselor | 144 Harrier Ave, Vallejo, CA 94590-3710 | 2015-04-28 |
| 1376935452 | Diana Harvey | Counselor | 1827 Alabama St, Vallejo, CA 94590-4739 | 2015-02-25 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1174959811 | Chris William Cook | Counselor | 1243 Florida St, Vallejo, CA 94590-5540 | 2013-09-25 |
| Find all providers in VALLEJO | ||||
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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.