MEDICARE: AGATHA ROSE WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1124341474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AGATHA ROSE WILLIAMS

Provider Business Mailing Address
First Line	:	1400 PARKMOOR AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-3797
Country	:	US
Telephone Number	:	408-510-3480
Fax Number	:	408-510-3484

Provider Business Practice Location Address
First Line	:	1400 PARKMOOR AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-3797
Country	:	US
Telephone Number	:	408-510-3480
Fax Number	:	408-510-3484

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2010
Last Update Date	:	03/01/2010

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1033046974 — YURIDIA RUBRICA
Practice Location Address:

1400 PARKMOOR AVE STE 115
SAN JOSE, CA
95126-3797

Practice Phone: 408-971-9822
Practice Fax:

1215097621 — THE UNITY CARE GROUP
Practice Location Address:

1400 PARKMOOR AVE STE 115
SAN JOSE, CA
95126-3797

Practice Phone: 408-971-9822
Practice Fax: 408-971-9820

1225180862 — MS. PICHA JINI WATKINS
Practice Location Address:

1400 PARKMOOR AVE STE 115
SAN JOSE, CA
95126-3797

Practice Phone: 408-971-9822
Practice Fax:

1912208182 — JENNIFER MARIE DUMAS
Practice Location Address:

1400 PARKMOOR AVE , SUITE 115
SAN JOSE, CA
95126-3797

Practice Phone: 408-971-9822
Practice Fax: 408-971-9820

1518266584 — MIRELY MARGARITA VASQUEZ
Practice Location Address:

1400 PARKMOOR AVE STE 115
SAN JOSE, CA
95126-3797

Practice Phone: 408-971-9822
Practice Fax: 408-971-9822

Directions to “ AGATHA ROSE WILLIAMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.