| Juan Ponce, LCSW | |
|
3490 The Alameda, Santa Clara, CA 95050-4333 | |
| (408) 243-0222 | |
| Not Available |
| Full Name | Juan Ponce |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 3490 The Alameda, Santa Clara, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649695479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 108808 (California) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Entity Name | Family Health Centers Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Ponce, LCSW 3490 The Alameda, Santa Clara, CA 95050-4333 Ph: (408) 243-0222 | Juan Ponce, LCSW 3490 The Alameda, Santa Clara, CA 95050-4333 Ph: (408) 243-0222 |
Mrs. Baljit Dhanjal Nagi, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1659 Scott Blvd Ste 30, Santa Clara, CA 95050 Phone: 140-824-4183 | |
Daniella Galaviz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 | |
Ms. Prescilla Danielle John, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 646-681-7506 | |
Kayla Brittney Schell, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 | |
Adrianna Lee Heads, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1889 Lawrence Rd, Santa Clara, CA 95051 Phone: 408-423-2000 | |
Mariah Ashley Romero, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 | |
Lindsey Garber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 707-583-1703 |