Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORGE E ALFONSO
ActiveJORGE E ALFONSO is a Day Training/Habilitation healthcare provider located in SAN RAFAEL, California. NPI 1396040085 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1396040085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2011 (15.615337307775 yrs)
- Last Updated
- May 29, 2025
Practice Information
- Address
-
30 PROFESSIONAL CENTER PKWYSAN RAFAEL, CA, 949032757Browse CA providers · Browse ZIP 94903
- Phone
- 4156524376
- Fax
- 4156524376
- Primary Specialty
-
Day Training/Habilitation
373H00000X
Other Day Training/Habilitation Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| MS. THERESE BERNADETTE FOSTER | BA | 1053478248 |
| MR. TERRY MARTIN KEADY | — | 1346487436 |
| CLAIRE NILSEN | CCMA | 1730403791 |
| DEREK DENG | — | 1114686383 |
| ZULEIMA AVALOS-GENCHI | — | 1972262947 |
| REBECCA ADAIR | — | 1215641717 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.