Mr Gabriel Santos, is a
Peer Specialist based in Reseda, California. Mr Gabriel Santos is licensed to practice in Arizona (license number ) and his current practice location is
18152 Lull St, Reseda, California. He can be reached at his office (for appointments etc.) via phone at
(510) 314-6423.
NPI number for Mr Gabriel Santos is 1366110538 and his current mailing address is 18152 Lull St, Reseda, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366110538.
Healthcare Provider's Profile
| Full Name | Mr Gabriel Santos |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 18152 Lull St, Reseda, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366110538
- Provider Enumeration Date: 09/02/2021
- Last Update Date: 09/18/2021
Medical Identifiers
Medical identifiers for Mr Gabriel Santos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366110538 | NPI | - | NPPES |
| 01779778 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (Arizona) | Secondary |
| 175T00000X | Peer Specialist | (Arizona) | Primary |
| 101Y00000X | Counselor | (Arizona) | Secondary |
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. Mr Gabriel Santos 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 |
|---|
Mr Gabriel Santos,
18152 Lull St,
Reseda, CA 91335-2048
Ph: () - | Mr Gabriel Santos,
18152 Lull St,
Reseda, CA 91335-2048
Ph: (510) 314-6423 |
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