Carlos Daniel Quintanilla, is a
Community Health Worker based in San Rafael, California. Carlos Daniel Quintanilla is licensed to practice in * (Not Available) (license number ) and his current practice location is
30 Professional Center Pkwy, San Rafael, California. He can be reached at his office (for appointments etc.) via phone at
(707) 495-2938.
NPI number for Carlos Daniel Quintanilla is 1780381491 and his current mailing address is 1019 Trenton Blvd, San Pablo, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780381491.
Healthcare Provider's Profile
| Full Name | Carlos Daniel Quintanilla |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
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| Location | 30 Professional Center Pkwy, San Rafael, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780381491
- Provider Enumeration Date: 02/13/2023
- Last Update Date: 11/02/2023
Medical Identifiers
Medical identifiers for Carlos Daniel Quintanilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780381491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (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. Carlos Daniel Quintanilla 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 |
|---|
Carlos Daniel Quintanilla,
1019 Trenton Blvd,
San Pablo, CA 94806-2895
Ph: (510) 260-3794 | Carlos Daniel Quintanilla,
30 Professional Center Pkwy,
San Rafael, CA 94903-2757
Ph: (707) 495-2938 |
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