MEDICARE: ELANA CANDIOTTI-PACHECO

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	225X00000X	Occupational Therapist	25099	CA

General Provider Information

NPI Number	:	1457208738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELANA CANDIOTTI-PACHECO

Provider Business Mailing Address
First Line	:	942 COLLEGE DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-3610
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	H BERRY DR
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94043-1583
Country	:	US
Telephone Number	:	650-204-0677
Fax Number	:

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

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/14/2026

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