Provider Demographics
NPI:1790531846
Name:SANCHEZ-CUEVAS, ADRIAN NAZARETH
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:NAZARETH
Last Name:SANCHEZ-CUEVAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 SCHEMBRI LN
Mailing Address - Street 2:
Mailing Address - City:EAST PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-1739
Mailing Address - Country:US
Mailing Address - Phone:650-919-3011
Mailing Address - Fax:
Practice Address - Street 1:855 SCHEMBRI LN
Practice Address - Street 2:
Practice Address - City:EAST PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-1739
Practice Address - Country:US
Practice Address - Phone:650-919-3011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104100000X, 1041C0700X, 1041S0200X, 103TB0200X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent