Adrian Jacob Carrasco, is a
Day Training/habilitation Specialist based in San Bernardino, California. Adrian Jacob Carrasco is licensed to practice in California (license number ) and his current practice location is
1738 N Waterman Ave Ste 1, San Bernardino, California. He can be reached at his office (for appointments etc.) via phone at
(909) 693-3302.
NPI number for Adrian Jacob Carrasco is 1366940579 and his current mailing address is 1076 Santo Antonio Dr Ste B, Colton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366940579.
Healthcare Provider's Profile
| Full Name | Adrian Jacob Carrasco |
|---|
| Gender | Male |
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| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 1738 N Waterman Ave Ste 1, San Bernardino, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366940579
- Provider Enumeration Date: 01/23/2018
- Last Update Date: 05/09/2025
Medical Identifiers
Medical identifiers for Adrian Jacob Carrasco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366940579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2110806-I (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 172V00000X | Community Health Worker | (California) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adrian Jacob Carrasco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Adrian Jacob Carrasco,
1076 Santo Antonio Dr Ste B,
Colton, CA 92324-8183
Ph: (909) 433-9824 | Adrian Jacob Carrasco,
1738 N Waterman Ave Ste 1,
San Bernardino, CA 92404-5131
Ph: (909) 693-3302 |
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