Mr Jose C Favela, is a
Case Manager/care Coordinator based in San Andreas, California. Mr Jose C Favela is licensed to practice in * (Not Available) (license number ) and his current practice location is
891 Mountain Ranch Rd, San Andreas, California. He can be reached at his office (for appointments etc.) via phone at
(209) 754-6885.
NPI number for Mr Jose C Favela is 1548384597 and his current mailing address is 5361 N Pershing Ave Ste H, Stockton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548384597.
Healthcare Provider's Profile
| Full Name | Mr Jose C Favela |
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| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 891 Mountain Ranch Rd, San Andreas, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548384597
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 06/03/2022
Medical Identifiers
Medical identifiers for Mr Jose C Favela such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548384597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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 Jose C Favela 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 Jose C Favela,
5361 N Pershing Ave Ste H,
Stockton, CA 95207-5450
Ph: (209) 477-9177 | Mr Jose C Favela,
891 Mountain Ranch Rd,
San Andreas, CA 95249-9713
Ph: (209) 754-6885 |
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