Look up the most recent NPI and PECOS records

Evelan Arellano

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Evelan Arellano does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1891429296
Provider Type
Individual
Full Name
Arellano, Evelan
Gender
Female

Sole Proprietor
No
Enumeration Date
7/12/2022
Last Updated
5/23/2023

Contact Information

Practice Location

232 E Gish Rd, San Jose, CA 95112-4706

(408) 876-4284

Unlisted Fax

Mailing Location

232 E Gish Rd, San Jose, CA 95112-4706

(510) 828-4124

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer

Evelan Arellano

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Kwon, Jennifer

Chavez, Kassandra

Ball, Steven

Valentin, Cassandra Mae

Kondrakhin, Alexander

Brown, Peter

Unck Nelson, Jannette Marie

Dam, Jessica Quan

Esquivel, Julio Cesar

Gutierrez, Ruth Belen