Angel Samuel De Anda, is a
Community Health Worker based in Concord, California. Angel Samuel De Anda is licensed to practice in * (Not Available) (license number ) and his current practice location is
1848 Willow Pass Rd Ste 207, Concord, California. He can be reached at his office (for appointments etc.) via phone at
(530) 265-9057.
NPI number for Angel Samuel De Anda is 1073277240 and his current mailing address is 24077 State Highway 49, Nevada City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073277240.
Healthcare Provider's Profile
| Full Name | Angel Samuel De Anda |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1848 Willow Pass Rd Ste 207, Concord, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073277240
- Provider Enumeration Date: 10/25/2021
- Last Update Date: 05/08/2023
Medical Identifiers
Medical identifiers for Angel Samuel De Anda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073277240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Angel Samuel De Anda 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 |
|---|
Angel Samuel De Anda,
24077 State Highway 49,
Nevada City, CA 95959-8519
Ph: (530) 265-9057 | Angel Samuel De Anda,
1848 Willow Pass Rd Ste 207,
Concord, CA 94520-2542
Ph: (530) 265-9057 |
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