Healthcare Provider Details

I. General information

NPI: 1811883796
Provider Name (Legal Business Name): ALEYA JEAN DELPHINO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 THORNTON AVE
NEWARK CA
94560-3734
US

IV. Provider business mailing address

29200 HUNTWOOD AVE APT 219
HAYWARD CA
94544-6582
US

V. Phone/Fax

Practice location:
  • Phone: 510-792-4357
  • Fax:
Mailing address:
  • Phone: 510-512-5208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberR1617690625
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: