Healthcare Provider Details

I. General information

NPI: 1881510543
Provider Name (Legal Business Name): ADRIANA CABRERA LUGO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1299 BRYANT AVE
MOUNTAIN VIEW CA
94040-4527
US

IV. Provider business mailing address

1488 BETTY ST
EXETER CA
93221-2375
US

V. Phone/Fax

Practice location:
  • Phone: 650-940-4650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: