Healthcare Provider Details

I. General information

NPI: 1407762578
Provider Name (Legal Business Name): EVELYN R DRAMINSKI RT1432410226
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 BERNAL RD STE A
SAN JOSE CA
95119-1809
US

IV. Provider business mailing address

558 CONTINENTAL DR
SAN JOSE CA
95111-2570
US

V. Phone/Fax

Practice location:
  • Phone: 408-780-0755
  • Fax:
Mailing address:
  • Phone: 408-428-2825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: