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MR. JEFFERY PONCE
NPI 1295923357
Counselor - Addiction (Substance Use Disorder) in Fremont, CA

Active since October 12, 2007
4510 PERALTA BLVD, SUITE 1, FREMONT, CA 94536(510) 713-3202(510) 713-0684 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jeffery Ponce NPPES

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

MR. JEFFERY PONCE (NPI 1295923357) is an individual addiction (substance use disorder) provider in Fremont, California, licensed in California (P0412282013) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1295923357
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JEFFERY PONCE
Location Address4510 PERALTA BLVD, SUITE 1Fremont, CA 94536-5755
Mailing Address4510 Peralta Blvd, Suite 1Fremont, CA 94536-5755 · (510) 713-3202 · Fax (510) 713-0684
Phone(510) 713-3202
Fax(510) 713-0684
Sole ProprietorYes
Enumeration DateOctober 12, 2007
Last NPPES UpdateDecember 31, 2024
NPPES CertifiedDecember 31, 2024
✔ NPI 1295923357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · P0412282013
4510 PERALTA BLVD, Fremont, CA 94536
Open in Google Maps ↗

Other Identifiers 2

OtherCO53190518CA · Ccapp
OtherP0412282013CA · Breining Institute

Other Providers at the Same Location NPPES 19

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

MRS. CONNIE JENKINS
Counselor (Addiction (Substance Use Disorder))
4510 PERALTA BLVD, SUITE 1
FREMONT, CA 94536
Alameda County (510) 713-3202
MR. LESTER LANELL AUSTIN
Counselor (Addiction (Substance Use Disorder))
4510 PERALTA BLVD, SUITE 1
FREMONT, CA 94536
Alameda County (510) 713-3202
MR. RALPH DOUGLAS COOK
Counselor (Addiction (Substance Use Disorder))
4510 PERALTA BLVD, SUITE 1
FREMONT, CA 94536
Alameda County (510) 713-3202
MR. EUGENE ALI BERKLEY
Counselor (Addiction (Substance Use Disorder))
4510 PERALTA BLVD, SUITE 1
FREMONT, CA 94536
Alameda County (510) 713-3202
MR. SAMUEL JAMES SYKES
Counselor (Addiction (Substance Use Disorder))
4510 PERALTA BLVD, SUITE 1
FREMONT, CA 94536
Alameda County (510) 713-3202
MR. JOSEPH B LOCARIA MA
Counselor (Addiction (Substance Use Disorder))
4510 PERALTA BLVD, SUITE 1
FREMONT, CA 94536
Alameda County (510) 713-3202
MS. RITA MARIE LOCARIA MA
Counselor (Addiction (Substance Use Disorder))
4510 PERALTA BLVD, SUITE 1
FREMONT, CA 94536
Alameda County (510) 713-3213
MR. LOUIS ANTHONY QUILLIN
Counselor (Addiction (Substance Use Disorder))
4510 PERALTA BLVD, SUITE 1
FREMONT, CA 94536
Alameda County (510) 713-3202

Frequently Asked Questions

What is Jeffery Ponce's NPI number?

The NPI number assigned to this healthcare provider is 1295923357, enumerated as an "individual" on October 12, 2007.

Where is the provider located?

The provider is located at 4510 PERALTA BLVD SUITE 1 FREMONT, CA 94536 and the phone number is (510) 713-3202.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

What insurance does Jeffery Ponce accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.