Carlos Andres Blanco, is a
Student In An Organized Health Care Education/training Program based in Modesto, California. Carlos Andres Blanco is licensed to practice in * (Not Available) (license number ) and his current practice location is
1130 12th St Ste B, Modesto, California. He can be reached at his office (for appointments etc.) via phone at
(209) 558-4324.
NPI number for Carlos Andres Blanco is 1790663862 and his current mailing address is 1130 12th St Ste B, Modesto, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790663862.
Healthcare Provider's Profile
| Full Name | Carlos Andres Blanco |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1130 12th St Ste B, Modesto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790663862
- Provider Enumeration Date: 08/26/2025
- Last Update Date: 08/28/2025
Medical Identifiers
Medical identifiers for Carlos Andres Blanco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790663862 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Carlos Andres Blanco 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 |
|---|
Carlos Andres Blanco,
1130 12th St Ste B,
Modesto, CA 95354-0834
Ph: (209) 450-7352 | Carlos Andres Blanco,
1130 12th St Ste B,
Modesto, CA 95354-0834
Ph: (209) 558-4324 |
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