MR. GABRIEL SANTOS NPI 1366110538

NPI Information

NPI: 1366110538
Provider Name: MR. GABRIEL SANTOS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
18152 LULL ST
RESEDA, CA
ZIP 91335
Phone: (510) 314-6423
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MR. Gabriel Santos is a peer specialist in Reseda, CA. The provider is 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. MR. Gabriel Santos NPI is 1366110538. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18152 LULL ST
RESEDA, CA
ZIP 91335-048
Phone: (510) 314-6423

The enumeration date for this NPI number is 9/2/2021 and was last updated on 9/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YP2500X	Counselor	Professional	ARIZONA	No
2	175T00000X	Peer Specialist		ARIZONA	Yes
3	101Y00000X	Counselor		ARIZONA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01779778	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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