Carlos Rafael Villacis Acosta, is a
Community Health Worker based in Vallejo, California. Carlos Rafael Villacis Acosta is licensed to practice in * (Not Available) (license number ) and his current practice location is
1224 Halsey St, Vallejo, California. He can be reached at his office (for appointments etc.) via phone at
(415) 408-1797.
NPI number for Carlos Rafael Villacis Acosta is 1669097432 and his current mailing address is 8945 Golf Links Rd, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669097432.
Healthcare Provider's Profile
| Full Name | Carlos Rafael Villacis Acosta |
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| Gender | Male |
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| Speciality | Community Health Worker |
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| Location | 1224 Halsey St, Vallejo, 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: 1669097432
- Provider Enumeration Date: 06/08/2020
- Last Update Date: 05/16/2023
Medical Identifiers
Medical identifiers for Carlos Rafael Villacis Acosta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669097432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 247200000X | Technician, Other | (* (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 Rafael Villacis Acosta 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 Rafael Villacis Acosta,
8945 Golf Links Rd,
Oakland, CA 94605-4124
Ph: (510) 317-1444 | Carlos Rafael Villacis Acosta,
1224 Halsey St,
Vallejo, CA 94590-3063
Ph: (415) 408-1797 |
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