MR. RICARDO JOSE FORTENBERRY NPI 1548450117

NPI Information

NPI: 1548450117
Provider Name: MR. RICARDO JOSE FORTENBERRY
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1306 ISABEL CT
PITTSBURG, CA
ZIP 94565
Phone: (510) 919-1302
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MR. Ricardo Jose Fortenberry is an addiction (substance use disorder) counselor in Pittsburg, CA. MR. Ricardo Jose Fortenberry NPI is 1548450117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1306 ISABEL CT
PITTSBURG, CA
ZIP 94565-659
Phone: (510) 919-1302
Fax: (925) 439-7085

The enumeration date for this NPI number is 7/30/2007 and was last updated on 3/26/2009.

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 Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator		OR 01-005785	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	OR 01-005785	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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