Jascylette Lissandra Gonzalez Aviles, is a
Community Health Worker based in Goleta, California. Jascylette Lissandra Gonzalez Aviles is licensed to practice in * (Not Available) (license number ) and her current practice location is
5638 Hollister Ave Ste 230, Goleta, California. She can be reached at her office (for appointments etc.) via phone at
(805) 964-8857.
NPI number for Jascylette Lissandra Gonzalez Aviles is 1356039580 and her current mailing address is 5638 Hollister Ave Ste 230, Goleta, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356039580.
Healthcare Provider's Profile
Full Name | Jascylette Lissandra Gonzalez Aviles |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 5638 Hollister Ave Ste 230, Goleta, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356039580
- Provider Enumeration Date: 04/26/2023
- Last Update Date: 09/06/2023
Medical Identifiers
Medical identifiers for Jascylette Lissandra Gonzalez Aviles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356039580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (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. Jascylette Lissandra Gonzalez Aviles 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 |
Jascylette Lissandra Gonzalez Aviles, 5638 Hollister Ave Ste 230, Goleta, CA 93117-3475 Ph: (805) 964-8857 | Jascylette Lissandra Gonzalez Aviles, 5638 Hollister Ave Ste 230, Goleta, CA 93117-3475 Ph: (805) 964-8857 |
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