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EVA BLACK
NPI 1093256174
Rehabilitation Practitioner in San Jose, CA

Active since March 09, 2017
1555 PARKMOOR AVE, SAN JOSE, CA 95128(408) 822-0402 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Jun 14, 2023 (2 updates tracked since 2023).

About Eva Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVA BLACK (NPI 1093256174) is an individual rehabilitation practitioner in San Jose, California and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1093256174
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameEVA BLACK
Location Address1555 PARKMOOR AVESan Jose, CA 95128-2407
Mailing Address1555 Parkmoor AveSan Jose, CA 95128-2407 · (408) 282-0402
Phone(408) 822-0402
Sole ProprietorNo
Enumeration DateMarch 9, 2017
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1093256174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1555 PARKMOOR AVE, San Jose, CA 95128
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Other Identifiers 1

Medicaid110026265EMA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEAGHAN BARISONE
Counselor
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
KELLY TRAN
Marriage & Family Therapist
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
QIAN LI M.S.
Counselor (Mental Health)
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
KARINA BETERAN
Marriage & Family Therapist
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
BICH-LIEN THU PHAN
Student in an Organized Health Care Education/Training Program
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
YESENIA BRACOMONTES VILLA
Counselor
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
ALISHA BEAL
Counselor (Mental Health)
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
PHYLICIA THIEN PHUOC NGUYEN
Marriage & Family Therapist
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eva Black's NPI number?

The NPI number for Eva Black is 1093256174. It was assigned to this individual provider in the NPPES registry on March 9, 2017.

Where is Eva Black located?

Eva Black practices at 1555 Parkmoor Ave, San Jose, CA 95128. The listed phone number is (408) 822-0402.

What is Eva Black's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Eva Black was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.