Provider Demographics
NPI:1992688485
Name:LEAVES, AUTUMN CB
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:CB
Last Name:LEAVES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALVIN
Other - Middle Name:CASTILLO
Other - Last Name:BUNALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1922 THE ALAMEDA STE 316
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1461
Mailing Address - Country:US
Mailing Address - Phone:408-261-7777
Mailing Address - Fax:408-642-6052
Practice Address - Street 1:438 N WHITE RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-1439
Practice Address - Country:US
Practice Address - Phone:408-254-6828
Practice Address - Fax:408-642-6052
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner