Gabriel Jess Silva, SUDCC
Counselor, Addiction (Substance Use Disorder) in Manteca, CA. Individual provider (NPI-1).
NPI number1669976767
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1669976767
- Entity type
- Individual (NPI-1)
- Name
- Gabriel Jess Silva
- Credential
- SUDCC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2018
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 2021
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 |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 9933 | CA | Yes |
Practice location
955 W Center St Ste 12aManteca, CA 95337-7327
Phone 209-239-9600
Mailing address
955 W Center St Ste 12aManteca, CA 95337
Phone 209-239-9600
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 32 Addiction (Substance Use Disorder) Counselor providers in Manteca · All 1,345 providers in Manteca
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