Sussana Ontiveros, is a
Community Health Worker based in San Francisco, California. Sussana Ontiveros is licensed to practice in * (Not Available) (license number ) and her current practice location is
2717 Mission St, San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(415) 401-2756.
NPI number for Sussana Ontiveros is 1336611953 and her current mailing address is 2717 Mission St, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336611953.
Healthcare Provider's Profile
Full Name | Sussana Ontiveros |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 2717 Mission St, San Francisco, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336611953
- Provider Enumeration Date: 12/20/2018
- Last Update Date: 12/09/2022
Medical Identifiers
Medical identifiers for Sussana Ontiveros such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336611953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (California) | 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. Sussana Ontiveros 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 |
Sussana Ontiveros, 2717 Mission St, San Francisco, CA 94112 Ph: (415) 401-2756 | Sussana Ontiveros, 2717 Mission St, San Francisco, CA 94112-9411 Ph: (415) 401-2756 |
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