MEDICARE: MRS. CAROL ANN JOY-OJEDA

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	C24671214	CA
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1598921785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROL ANN JOY-OJEDA

Provider Business Mailing Address
First Line	:	3600 POWER INN RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-3826
Country	:	US
Telephone Number	:	916-450-0700
Fax Number	:	916-450-0703

Provider Business Practice Location Address
First Line	:	3600 POWER INN RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-3826
Country	:	US
Telephone Number	:	916-450-0700
Fax Number	:	916-450-0703

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

Provider Enumeration Date	:	08/06/2008
Last Update Date	:	06/03/2015

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