ENEYDA YULISA CIFUENTES
NPI 1104592922
Rehabilitation Practitioner in San Rafael, CA

Active since August 20, 2021
30 PROFESSIONAL CENTER PKWY, SAN RAFAEL, CA 94903(707) 684-9622 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2025, Aug 12, 2025, Jun 2, 2025 and 2 more (5 updates tracked since 2021).

About Eneyda Yulisa Cifuentes NPPES

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

ENEYDA YULISA CIFUENTES (NPI 1104592922) is an individual rehabilitation practitioner in San Rafael, California and active in the NPI registry since August 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104592922
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameENEYDA YULISA CIFUENTES
Location Address30 PROFESSIONAL CENTER PKWYSan Rafael, CA 94903-2757
Mailing Address8945 Golf Links RdOakland, CA 94605-4124 · (510) 317-1444
Sole ProprietorNo
Enumeration DateAugust 20, 2021
Last NPPES UpdateNovember 17, 20255 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
NPI 1104592922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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 ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
30 PROFESSIONAL CENTER PKWY, San Rafael, CA 94903

Secondary Practice Locations 2

Location 1101 Wikiup DrSanta Rosa, CA 95403-1375 · Phone (707) 684-9622
Location 22245 Challenger WaySanta Rosa, CA 95407-5418 · Phone (707) 565-4700

Other Providers at the Same Location NPPES 10

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

Day Training/Habilitation Specialist
30 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA 94903
Social Worker
30 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA 94903
Day Training/Habilitation Specialist
30 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA 94903
Case Manager/Care Coordinator
30 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA 94903
Day Training/Habilitation Specialist
30 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA 94903
Marriage & Family Therapist
30 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA 94903
Technician, Health Information (Assistant Record Technician)
30 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA 94903
Community/Behavioral Health
30 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA 94903

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 Eneyda Cifuentes's NPI number?

The NPI number for Eneyda Cifuentes is 1104592922. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Eneyda Cifuentes located?

Eneyda Cifuentes practices at 30 Professional Center Pkwy, San Rafael, CA 94903. The listed phone number is (707) 684-9622.

What is Eneyda Cifuentes'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 Eneyda Cifuentes was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.