Provider Demographics
NPI:1588236392
Name:PIEDRA, FRANCISCO C
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:C
Last Name:PIEDRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:FRANCISCO
Other - Middle Name:C
Other - Last Name:CASTANON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:355 TUOLUMNE ST STE 20-210
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-5700
Mailing Address - Country:US
Mailing Address - Phone:707-386-2160
Mailing Address - Fax:
Practice Address - Street 1:275 BECK AVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-6804
Practice Address - Country:US
Practice Address - Phone:707-553-5557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker