Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA G AVALOS
Active Sole ProprietorJESSICA G AVALOS is a Podiatric Surgery healthcare provider located in SAN RAFAEL, California. NPI 1568353720 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1568353720
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2025 (1.1012639449249 yrs)
- Last Updated
- Jul 14, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
330 CANAL ST APT 19CSAN RAFAEL, CA, 949016219Browse CA providers · Browse ZIP 94901
- Phone
- 4158795870
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.