Robert TY Costa

Case Manager/Care Coordinator · Ceres, CA

Individual Active NPI

NPI number 1639514102

Practice location

1904 Richland Ave
Ceres, CA 95307-4562
Phone
(209) 541-2121
Fax
(209) 541-2083

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NPI record

NPI
1639514102
Entity type
Individual (Type 1)
Enumeration date
May 9, 2013
Last updated
March 12, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X D6566716 CA

About Robert Costa

Robert TY Costa is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1904 Richland Ave, Ceres, CA 95307-4562. The NPI number 1639514102 was assigned on May 9, 2013 and the record was last updated on March 12, 2019.

Robert Costa lists a license in the registry: #D6566716 (CA) for Case Manager/Care Coordinator. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert TY Costa?

The NPI number is 1639514102.

What is the phone number of Robert Costa?

The phone number listed for the practice location is (209) 541-2121.

Where is Robert Costa located?

1904 Richland Ave, Ceres, CA 95307-4562.

What is the taxonomy code for Robert Costa?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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