Provider Demographics
NPI:1841155900
Name:BLANCAS, XAVIER
Entity type:Individual
Prefix:
First Name:XAVIER
Middle Name:
Last Name:BLANCAS
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 1:849 W ORANGE AVE APT 3014
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-3136
Mailing Address - Country:US
Mailing Address - Phone:650-737-2705
Mailing Address - Fax:
Practice Address - Street 1:401 BRIARFIELD WAY
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-2712
Practice Address - Country:US
Practice Address - Phone:650-369-4598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-22
Last Update Date:2025-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)