Individual provider · Type 1 NPI

Eneyda Yulisa Cifuentes

Rehabilitation Practitioner · San Rafael, CA

NPI number 1104592922 Active

Practice location

30 Professional Center Pkwy
San Rafael, CA 94903-2757

Call (707) 684-9622 Map

Mailing address

8945 Golf Links Rd
Oakland, CA 94605-4124

Other practice locations

  • 101 Wikiup Dr, Santa Rosa, CA 95403-1375 · (707) 684-9622
  • 2245 Challenger Way, Santa Rosa, CA 95407-5418 · (707) 565-4700

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist 373H00000XNone listed
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1104592922

Eneyda Yulisa Cifuentes's National Provider Identifier is 1104592922, issued on Aug 20, 2021. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Rafael, CA. The record was last updated on Nov 17, 2025.