Provider Demographics
NPI:1508147869
Name:ESPINOZA, DAISY V
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:V
Last Name:ESPINOZA
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 1:97 E BROKAW RD STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-4221
Mailing Address - Country:US
Mailing Address - Phone:209-465-1080
Mailing Address - Fax:209-465-2709
Practice Address - Street 1:97 E BROKAW RD STE 150
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-4221
Practice Address - Country:US
Practice Address - Phone:209-465-1080
Practice Address - Fax:209-465-2709
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA373H00000X
101YA0400X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator