Healthcare Provider Details

I. General information

NPI: 1528974565
Provider Name (Legal Business Name): MS. ALYSSA NICOLA ORNELAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 OLD ORCHARD DR
DANVILLE CA
94526-4331
US

IV. Provider business mailing address

3360 MAGUIRE WAY UNIT 400
DUBLIN CA
94568-8509
US

V. Phone/Fax

Practice location:
  • Phone: 925-552-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number240189176
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: