Mr Pedro Aljecera Tacorda Jr, PT is a
Licensed Psychiatric Technician based in Campbell, California. Mr Pedro Aljecera Tacorda Jr is licensed to practice in California (license number PT35370) and his current practice location is
251 Llewellyn Ave, Campbell, California. He can be reached at his office (for appointments etc.) via phone at
(408) 379-3790.
NPI number for Mr Pedro Aljecera Tacorda Jr is 1710387808 and his current mailing address is 251 Llewellyn Ave, Campbell, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710387808.
Healthcare Provider's Profile
Full Name | Mr Pedro Aljecera Tacorda Jr |
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Gender | Male |
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Speciality | Licensed Psychiatric Technician |
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Location | 251 Llewellyn Ave, Campbell, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710387808
- Provider Enumeration Date: 08/26/2014
- Last Update Date: 02/05/2019
Medical Identifiers
Medical identifiers for Mr Pedro Aljecera Tacorda Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710387808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
167G00000X | Licensed Psychiatric Technician | PT35370 (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. Mr Pedro Aljecera Tacorda Jr 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 Pedro Aljecera Tacorda Jr, PT 251 Llewellyn Ave, Campbell, CA 95008-1940 Ph: (408) 379-3790 | Mr Pedro Aljecera Tacorda Jr, PT 251 Llewellyn Ave, Campbell, CA 95008-1940 Ph: (408) 379-3790 |
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