Ezequiel Alcantar, is a
Peer Specialist based in Stockton, California. Ezequiel Alcantar is licensed to practice in * (Not Available) (license number ) and his current practice location is
1414 N California St, Stockton, California. He can be reached at his office (for appointments etc.) via phone at
(209) 468-2385.
NPI number for Ezequiel Alcantar is 1578097424 and his current mailing address is 1414 N California St, Stockton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578097424.
Healthcare Provider's Profile
| Full Name | Ezequiel Alcantar |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1414 N California St, Stockton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1578097424
- Provider Enumeration Date: 04/18/2017
- Last Update Date: 06/05/2025
Medical Identifiers
Medical identifiers for Ezequiel Alcantar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578097424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (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. Ezequiel Alcantar 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 |
|---|
Ezequiel Alcantar,
1414 N California St,
Stockton, CA 95202-1515
Ph: (209) 468-2385 | Ezequiel Alcantar,
1414 N California St,
Stockton, CA 95202-1515
Ph: (209) 468-2385 |
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