Healthcare Provider Details

I. General information

NPI: 1619814860
Provider Name (Legal Business Name): ANA KOSKINARIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNA KOSKINARIS

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 CUTTING BLVD
RICHMOND CA
94804-2554
US

IV. Provider business mailing address

977 W NAPA ST # 1031
SONOMA CA
95476-6422
US

V. Phone/Fax

Practice location:
  • Phone: 510-660-6202
  • Fax:
Mailing address:
  • Phone: 707-968-1719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: