Yareny Mandujano
Social Worker in San Jose, CA. Individual provider (NPI-1).
NPI number1750954459
StatusActive
Last updated in NPPESJul 20, 2021
Details
- NPI
- 1750954459
- Entity type
- Individual (NPI-1)
- Name
- Yareny Mandujano
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2021
- Certification date
- Jul 20, 2021
- Last updated
- Jul 20, 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 |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
160 E Virginia St Ste 100San Jose, CA 95112-5865
Phone 408-938-2113 · Fax 408-579-6143
Mailing address
160 E Virginia St Ste 100San Jose, CA 95112-5865
Phone 408-938-2113 · Fax 408-579-6143
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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