SAMUEL F HEREDIA H14040440950 NPI 1740522747

NPI Information

NPI: 1740522747
Provider Name: SAMUEL F HEREDIA, H14040440950
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
105 POST OFFICE DR
#F
APTOS, CA
ZIP 95003
Phone: (831) 476-1747
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Samuel F Heredia, H14040440950 is an addiction (substance use disorder) counselor in Aptos, CA. Samuel F Heredia, H14040440950 NPI is 1740522747. 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:

105 POST OFFICE DR
#F
APTOS, CA
ZIP 95003-953
Phone: (831) 476-1747
Fax: (831) 685-1703

The enumeration date for this NPI number is 3/18/2013 and was last updated on 6/10/2014.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	H1404040950	CALIFORNIA	Yes

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	770488100	OTHER	CALIFORNIA	SOBRIETY WORKS

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: 4/28/2024

NPI Synchronization or Removal

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