Angelica Causor Eliazar, MSW
Counselor, Mental Health in San Jose, CA. Individual provider (NPI-1).
NPI number1083782452
StatusActive
Last updated in NPPESJul 12, 2007
Details
- NPI
- 1083782452
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Angelica Causor Eliazar
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Jul 12, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Angelica Maria Causor (Former Name)
Practice location
160 E Virginia Ste 280San Jose
San Jose, CA 95112
Phone 408-287-6200 · Fax 408-998-1535
Mailing address
160 E Virginia StSan Jose
San Jose, CA 95112-5857
Phone 408-287-6200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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