Healthcare Provider Details

I. General information

NPI: 1215751441
Provider Name (Legal Business Name): MARIA ACEVES ESPINOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date: 07/17/2026
Reactivation Date: 08/03/2026

III. Provider practice location address

1885 BAY RD
EAST PALO ALTO CA
94303-1312
US

IV. Provider business mailing address

1885 BAY RD
EAST PALO ALTO CA
94303-1312
US

V. Phone/Fax

Practice location:
  • Phone: 650-330-7400
  • Fax:
Mailing address:
  • Phone: 650-330-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: