Provider Demographics
NPI:1659669950
Name:BARTOLOME, JOHN ANTONIO FIGUERAS
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ANTONIO FIGUERAS
Last Name:BARTOLOME
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:JUAN
Other - Middle Name:F
Other - Last Name:BARTOLOME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6181 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2002
Mailing Address - Country:US
Mailing Address - Phone:415-337-0140
Mailing Address - Fax:415-337-0411
Practice Address - Street 1:6181 MISSION ST
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2002
Practice Address - Country:US
Practice Address - Phone:415-337-0140
Practice Address - Fax:415-337-0411
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)