Juan Ponce, LCSW | |
3490 The Alameda, Santa Clara, CA 95050-4333 | |
(408) 243-0222 | |
Not Available |
Full Name | Juan Ponce |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3490 The Alameda, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649695479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 108808 (California) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Family Health Centers Of San Diego, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
Mailing Address | Practice Location Address |
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Juan Ponce, LCSW 3490 The Alameda, Santa Clara, CA 95050-4333 Ph: (408) 243-0222 | Juan Ponce, LCSW 3490 The Alameda, Santa Clara, CA 95050-4333 Ph: (408) 243-0222 |
Mrs. Baljit Dhanjal Nagi, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1659 Scott Blvd Ste 30, Santa Clara, CA 95050 Phone: 140-824-4183 | |
Lashonda Renea Eagels, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Daniella Galaviz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 | |
Ms. Prescilla Danielle John, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 646-681-7506 | |
Lindsey Garber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 707-583-1703 | |
Sara C Cadalig, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Jennifer Bradley-weiss, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222 |