Provider Demographics
NPI:1609750512
Name:ALCIBAR GAYOSSO, ANAHI
Entity type:Individual
Prefix:
First Name:ANAHI
Middle Name:
Last Name:ALCIBAR GAYOSSO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 SENECA PL
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-2618
Mailing Address - Country:US
Mailing Address - Phone:831-313-7704
Mailing Address - Fax:
Practice Address - Street 1:1561 MCKINNON ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-4100
Practice Address - Country:US
Practice Address - Phone:831-796-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA125721104100000X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No104100000XBehavioral Health & Social Service ProvidersSocial Worker