Healthcare Provider Details

I. General information

NPI: 1720596190
Provider Name (Legal Business Name): SASHA CONTRERAS MHRS MH CASE MANAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SASHA CONTRERAS RADT

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2635 ZANKER RD
SAN JOSE CA
95134
US

IV. Provider business mailing address

2218 N 1ST ST
SAN JOSE CA
95131-2007
US

V. Phone/Fax

Practice location:
  • Phone: 408-292-9353
  • Fax: 408-287-3104
Mailing address:
  • Phone: 408-538-0881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225CX0006X
TaxonomyOrientation and Mobility Training Rehabilitation Counselor
License NumberR1286240118
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: