Provider Demographics
NPI:1962158527
Name:TALANIA, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:TALANIA
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 1:1144 S 2ND ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-5974
Mailing Address - Country:US
Mailing Address - Phone:669-213-0382
Mailing Address - Fax:408-477-2185
Practice Address - Street 1:1144 S 2ND ST STE 110
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-5974
Practice Address - Country:US
Practice Address - Phone:669-213-0382
Practice Address - Fax:408-477-2185
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1538737226Medicaid