AUDREY ROSE ALBA NPI 1578094280

NPI Information

NPI: 1578094280
Provider Name: AUDREY ROSE ALBA
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
572 N ARROWHEAD AVE
200
SAN BERNARDINO, CA
ZIP 92401
Phone: (909) 266-2700
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Audrey Rose Alba is a peer specialist in San Bernardino, 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. Audrey Rose Alba NPI is 1578094280. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

572 N ARROWHEAD AVE
200
SAN BERNARDINO, CA
ZIP 92401-251
Phone: (909) 266-2700

The enumeration date for this NPI number is 3/23/2017 and was last updated on 10/6/2023.

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	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator	E1540271	CALIFORNIA	No
2	172V00000X	Community Health Worker	E1540271	CALIFORNIA	No
3	175T00000X	Peer Specialist			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: 5/5/2024

NPI Synchronization or Removal

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