Healthcare Provider Details

I. General information

NPI: 1629986575
Provider Name (Legal Business Name): ESMERALDA ARLYN ANTONAKAKIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

863 BOWSPRIT RD # CA
CHULA VISTA CA
91914-4529
US

IV. Provider business mailing address

439 HOTZ ST
SPRING VALLEY CA
91977-5709
US

V. Phone/Fax

Practice location:
  • Phone: 619-657-3384
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: