Healthcare Provider Details

I. General information

NPI: 1336596881
Provider Name (Legal Business Name): RICK ARMAND NAVARRO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2016
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N 1ST ST STE 310
SAN JOSE CA
95113-1003
US

IV. Provider business mailing address

976 LENZEN AVE STE 309
SAN JOSE CA
95126-2737
US

V. Phone/Fax

Practice location:
  • Phone: 669-263-4735
  • Fax:
Mailing address:
  • Phone: 669-263-4735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number126941
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: