Provider Demographics
NPI:1134755325
Name:ANAYA, CRISTINA LOYA (ASW)
Entity type:Individual
Prefix:MS
First Name:CRISTINA
Middle Name:LOYA
Last Name:ANAYA
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:MS
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:LOYA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4401 CENTRAL AVE APT 24
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-5820
Mailing Address - Country:US
Mailing Address - Phone:626-800-7264
Mailing Address - Fax:
Practice Address - Street 1:2 N MARKET ST FL 3
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95113-1211
Practice Address - Country:US
Practice Address - Phone:510-210-3233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2020-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA94567104100000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator