PAUL CORNEJO NPI 1295174472

NPI Information

  • NPI: 1295174472
  • Provider Name: PAUL CORNEJO
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 12490 ALTA MESA RD
    HERALD, CA
    ZIP 95638
  • Phone: (209) 748-2470

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NPI Details

Paul Cornejo is an addiction (substance use disorder) counselor in Herald, CA. Paul Cornejo NPI is 1295174472. 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:

12490 ALTA MESA RD
HERALD, CA
ZIP 95638-409
Phone: (209) 748-2470
Fax: (209) 748-5861

The enumeration date for this NPI number is 6/20/2013 and was last updated on 4/5/2023.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)A022510316CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

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