Myriam Janet Avila
Community Health Worker in San Leandro, CA. Individual provider (NPI-1).
NPI number1366082489
StatusActive
Last updated in NPPESMay 16, 2023
Details
- NPI
- 1366082489
- Entity type
- Individual (NPI-1)
- Name
- Myriam Janet Avila
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2020
- Certification date
- May 16, 2023
- Last updated
- May 16, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | CA | |
| 2470A2800X | Technician, Health Information, Assistant Record Technician | – | – |
Practice location
2275 Arlington DrSan Leandro, CA 94578-1132
Phone 510-317-1444
Mailing address
2275 Arlington DrSan Leandro, CA 94578-1132
Phone 510-317-1444
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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All 141 Community Health Worker providers in San Leandro · All 5,527 providers in San Leandro
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