Healthcare Provider Details

I. General information

NPI: 1609750512
Provider Name (Legal Business Name): ANAHI ALCIBAR GAYOSSO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1561 MCKINNON ST
SALINAS CA
93906-4100
US

IV. Provider business mailing address

635 SENECA PL
SALINAS CA
93906-2618
US

V. Phone/Fax

Practice location:
  • Phone: 831-796-7300
  • Fax:
Mailing address:
  • Phone: 831-313-7704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number125721
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number125721
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: