Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDGAR ONTIVEROS
ActiveEDGAR ONTIVEROS is a Peer Specialist healthcare provider located in CLEARLAKE, California. NPI 1891517124 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · CLEARLAKE, CA
Registration Details
- NPI Number
- 1891517124
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2024 (1.8005152374206 yrs)
- Last Updated
- Oct 30, 2024
- License
-
MPSS-WEYLRB (CA)
Practice Information
- Address
-
14096 LAKESHORE DRCLEARLAKE, CA, 954228160Browse CA providers · Browse ZIP 95422
- Phone
- 7079944261
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in CLEARLAKE, CA
| Name | Credential | NPI |
|---|---|---|
| DAVID S ABLES | — | 1790069953 |
| WENDY GATTONI | — | 1003526864 |
| REBECCA INEZ VASQUEZ | PEER SUPPORT SPC | 1639915630 |
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.