Gabriela Bautista Cornejo, is a
Community Health Worker based in Manteca, California. Gabriela Bautista Cornejo 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 Gabriela Bautista Cornejo is 1710622295 and her current mailing address is 302 Cherry Ln Ste 102, Manteca, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710622295.
Healthcare Provider's Profile
Full Name | Gabriela Bautista Cornejo |
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Gender | Female |
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Speciality | Community Health Worker |
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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: 1710622295
- Provider Enumeration Date: 04/29/2022
- Last Update Date: 07/17/2024
Medical Identifiers
Medical identifiers for Gabriela Bautista Cornejo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710622295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (California) | 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. Gabriela Bautista Cornejo 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 |
Gabriela Bautista Cornejo, 302 Cherry Ln Ste 102, Manteca, CA 95337-4311 Ph: (209) 647-6200 | Gabriela Bautista Cornejo, 302 Cherry Ln Ste 101, Manteca, CA 95337-4311 Ph: (209) 647-6200 |
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