Individual provider · Type 1 NPI

Salvador Andrez Enciso

Peer Specialist · Ontario, CA

NPI number 1497635841 Active

Practice location

2151 E Convention Center Way
Ontario, CA 91764-5429

Call (626) 922-7382 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1497635841

Salvador Andrez Enciso's National Provider Identifier is 1497635841, issued on Sep 5, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ontario, CA. The record was last updated on Oct 24, 2025.