Healthcare Provider Details

I. General information

NPI: 1043187842
Provider Name (Legal Business Name): MONICA POLITRON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943 BUCKHORN DR
SALINAS CA
93905-6622
US

IV. Provider business mailing address

943 BUCKHORN DR
SALINAS CA
93905-6622
US

V. Phone/Fax

Practice location:
  • Phone: 831-905-9131
  • Fax:
Mailing address:
  • Phone: 831-905-9131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: