AGUEDA PHILBIN


Address: 300 L St, Antioch, CA 94509-1159
Phone: 9257796908

AGUEDA PHILBIN (NPI# 1811101843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811101843
Entity Type Individual
Full Name AGUEDA PHILBIN
Practice Address 300 L St
Antioch
CA 94509-1159
Practice Telephone 9257796908
Practice Fax Number 9257542002
Mailing Telephone 9257796908
Mailing Fax Number 9257542002
Enumeration Date 2007-05-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA DRUG MEDI-CAL NO. 0753 01
CA MASTER PROVIDER NO. 070753 01

Office Location

Street Address 300 L ST
City ANTIOCH
State CA
Zip Code 94509-1159

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932733243 A Step Above, LLC Clinic/Center 3648 Delta Fair Blvd., Antioch, CA 94509 2020-02-25
1134751167 Dr. Jeffrey A Saladin, Dental Corporation Dentist 3600 Delta Fair Blvd, Antioch, CA 94509 2020-02-07
1962040865 Melay Goitom Behavioral Analyst 3104 Delta Fair Boulevard, Antioch, CA 94509 2019-12-11
1518525062 James Joseph Cook Counselor 624 W. 14th Street B, Antioch, CA 94509 2019-05-30
1922576438 Wazma Matiee Behavioral Analyst 2009 Asilomar Dr., Antioch, CA 94509 2018-11-02
1346722360 Dharma Rachelle Yancy Behavioral Analyst 3401 Delta Fair Blvd, Antioch, CA 94509 2018-09-06
1912489931 Cristian Cruz Behavioral Analyst 3100-3104 Delta Fair Blvd, Antioch, CA 94509 2018-09-06
1780174052 Melissa Sue Rossi Counselor 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 2018-05-13
1033638085 Elizabeth Marie Artola Counselor 1915 D Street, Antioch, CA 94509 2017-09-11
1144748690 Andrea Michelle Newberry Counselor 55 E.18th St, Antioch, CA 94509 2017-09-05
Find all providers in zip 94509

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861646036 Zahra Rooshen Counselor 5506 Dawnview Way, Antioch, CA 94531-8616 2008-11-13
1023213311 Sue G Mankini Counselor 2828 Filbert St, Antioch, CA 94509-7336 2007-06-18
1689875510 Erion L Moore I Counselor 1728 Sanger Peak Way, Antioch, CA 94531-9127 2007-05-29
1962624734 Lendsey Wayne Busby Counselor 1915 D St, Antioch, CA 94509-2571 2007-05-02
1801924576 Felisa D Gaffney Counselor 3700 Delta Fair Blvd Ste 210, Antioch, CA 94509 2007-03-02
1780725655 Mary Powell Counselor 3707 Sunset Lane, Antioch, CA 94509-6101 2007-02-12
1992318869 Skyler Sanderson Counselor 1915 D St, Antioch, CA 94509-2571 2020-08-28
1861001216 Toby Martin Disney Counselor 1408 A St, Antioch, CA 94509-2331 2020-07-30
1598390973 Brittney Leigh Smith Counselor 3707 Sunset Ln, Antioch, CA 94509-6101 2020-03-06
1881234391 Jason Edward Meadors Sr. Counselor 1408 A St, Antioch, CA 94509-2331 2020-01-13
Find all providers in ANTIOCH

Competitor

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City ANTIOCH
Zip Code 94509

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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