Lisa Yvonne Gomez-legarda, is a
Peer Specialist based in San Jose, California. Lisa Yvonne Gomez-legarda is licensed to practice in California (license number MPSS-ZMTSJR) and her current practice location is
1144 S 2nd St Ste 110, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(669) 200-1540.
NPI number for Lisa Yvonne Gomez-legarda is 1902540024 and her current mailing address is 1144 S 2nd St Ste 110, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902540024.
Healthcare Provider's Profile
Full Name | Lisa Yvonne Gomez-legarda |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 1144 S 2nd St Ste 110, San Jose, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902540024
- Provider Enumeration Date: 04/25/2022
- Last Update Date: 03/13/2024
Medical Identifiers
Medical identifiers for Lisa Yvonne Gomez-legarda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902540024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | MPSS-ZMTSJR (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. Lisa Yvonne Gomez-legarda 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 |
Lisa Yvonne Gomez-legarda, 1144 S 2nd St Ste 110, San Jose, CA 95112-5974 Ph: (669) 200-1540 | Lisa Yvonne Gomez-legarda, 1144 S 2nd St Ste 110, San Jose, CA 95112-5974 Ph: (669) 200-1540 |
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