Mr Jonathan Elias San Juan, MHSP is a
Peer Specialist based in Concord, California. Mr Jonathan Elias San Juan is licensed to practice in * (Not Available) (license number ) and his current practice location is
1420 Willow Pass Rd, Suite 200, Concord, California. He can be reached at his office (for appointments etc.) via phone at
(925) 646-5868.
NPI number for Mr Jonathan Elias San Juan is 1922153915 and his current mailing address is 1340 Arnold Dr Ste 200, Martinez, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922153915.
Healthcare Provider's Profile
| Full Name | Mr Jonathan Elias San Juan |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1420 Willow Pass Rd, Concord, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1922153915
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 02/21/2024
Medical Identifiers
Medical identifiers for Mr Jonathan Elias San Juan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922153915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (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. Mr Jonathan Elias San Juan 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 Jonathan Elias San Juan, MHSP
1340 Arnold Dr Ste 200,
Martinez, CA 94553-4189
Ph: (925) 957-5207 | Mr Jonathan Elias San Juan, MHSP
1420 Willow Pass Rd, Suite 200,
Concord, CA 94520-5223
Ph: (925) 646-5868 |
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