Amairany Fajardo I, is a
Peer Specialist based in Manteca, California. Amairany Fajardo I is licensed to practice in * (Not Available) (license number ) and her current practice location is
302 Cherry Ln Ste 101, Manteca, California. She can be reached at her office (for appointments etc.) via phone at
(209) 647-6200.
NPI number for Amairany Fajardo I is 1689302341 and her current mailing address is 302 Cherry Ln Ste 101, Manteca, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689302341.
Healthcare Provider's Profile
Full Name | Amairany Fajardo I |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 302 Cherry Ln Ste 101, Manteca, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689302341
- Provider Enumeration Date: 08/10/2022
- Last Update Date: 06/13/2023
Medical Identifiers
Medical identifiers for Amairany Fajardo I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689302341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (California) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amairany Fajardo I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amairany Fajardo I, 302 Cherry Ln Ste 101, Manteca, CA 95337-4311 Ph: (209) 647-6200 | Amairany Fajardo I, 302 Cherry Ln Ste 101, Manteca, CA 95337-4311 Ph: (209) 647-6200 |
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