Priscilla Favela
Rehabilitation Practitioner in San Jose, CA. Individual provider (NPI-1).
NPI number1831815166
StatusActive
Last updated in NPPESFeb 19, 2026
Details
- NPI
- 1831815166
- Entity type
- Individual (NPI-1)
- Name
- Priscilla Favela
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2022
- Certification date
- Feb 19, 2026
- Last updated
- Feb 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 171400000X | Health & Wellness Coach | – | CA | |
| 172V00000X | Community Health Worker | – | – |
Practice location
232 E Gish RdSan Jose, CA 95112-4706
Phone 408-876-4284
Mailing address
232 E Gish RdSan Jose, CA 95112-4706
Phone 408-876-4284
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