Eugene Avilla, is a
Peer Specialist based in Stockton, California. Eugene Avilla is licensed to practice in California (license number MPSS-VPRIOQ) and his current practice location is
1414 N California St, Stockton, California. He can be reached at his office (for appointments etc.) via phone at
(209) 468-2385.
NPI number for Eugene Avilla is 1073396560 and his current mailing address is 1414 N California St, Stockton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073396560.
Healthcare Provider's Profile
Full Name | Eugene Avilla |
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Gender | Male |
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Speciality | Peer Specialist |
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Location | 1414 N California St, Stockton, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073396560
- Provider Enumeration Date: 08/17/2023
- Last Update Date: 03/29/2024
Medical Identifiers
Medical identifiers for Eugene Avilla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073396560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | MPSS-VPRIOQ (California) | 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. Eugene Avilla 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 |
Eugene Avilla, 1414 N California St, Stockton, CA 95202-1515 Ph: (209) 468-2385 | Eugene Avilla, 1414 N California St, Stockton, CA 95202-1515 Ph: (209) 468-2385 |
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