MEDICARE: YANI TREVINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1518850551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANI TREVINO

Provider Business Mailing Address
First Line	:	577 FAIRMOUNT AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-5324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 SAN PABLO AVE STE E
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-2077
Country	:	US
Telephone Number	:	559-400-9268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2025
Last Update Date	:	05/29/2025

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Directions to “ YANI TREVINO ” Practice Location

Language	Start Address	Practice Location

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