MEDICARE: DEANNA CARDENAS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	171M00000X	Case Manager/Care Coordinator
3	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1932766045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA CARDENAS

Provider Business Mailing Address
First Line	:	250 EXECUTIVE PARK BLVD STE 4900
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94134-3335
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 EXECUTIVE PARK BLVD STE 4900
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94134-3335
Country	:	US
Telephone Number	:	916-729-3098
Fax Number	:

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

Provider Enumeration Date	:	05/23/2019
Last Update Date	:	02/06/2026

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Directions to “ DEANNA CARDENAS ” Practice Location

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