Provider Demographics
NPI:1386964542
Name:AUSTIN, SILVIA MACIAS
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:MACIAS
Last Name:AUSTIN
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 1:1992 CALAVERAS DR
Mailing Address - Street 2:
Mailing Address - City:BAY POINT
Mailing Address - State:CA
Mailing Address - Zip Code:94565-3351
Mailing Address - Country:US
Mailing Address - Phone:925-325-0418
Mailing Address - Fax:925-458-4313
Practice Address - Street 1:1992 CALAVERAS DR
Practice Address - Street 2:
Practice Address - City:BAY POINT
Practice Address - State:CA
Practice Address - Zip Code:94565-3351
Practice Address - Country:US
Practice Address - Phone:925-325-0418
Practice Address - Fax:925-458-4313
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA309-19245253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care