Individual provider · NPI-1
Jaydee Cean Aficial Caranto
Technician, Other · Oakland, CA
NPI number1407677131
StatusActive
Last updated in NPPESJun 11, 2025
Details
- NPI
- 1407677131
- Entity type
- Individual (NPI-1)
- Name
- Jaydee Cean Aficial Caranto
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2024
- Certification date
- Jun 11, 2025
- Last updated
- Jun 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
3301 E 12th StOakland, CA 94601-3424
Phone 510-269-9030
Mailing address
2137 Shadow CtPittsburg, CA 94565-4648
Phone 925-434-3516
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.