Edward Ederra
Counselor • Milpitas, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Edward Ederra has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Edward Ederra was a registered Counselor practicing in Milpitas, CA. Throughout an active medical career spanning 11 years, Edward Ederra provided care at the practice location at 221 WASHINGTON DR until profile deactivation on 2021-06-16.
Practice Location & Contact Primary Location
221 Washington Dr
Milpitas, CA 950353111
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Milpitas, CA
Practicing in Milpitas, CA (14303 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 16, 2021
NPI status registered as active in NPPES database
Registered at 221 WASHINGTON DR, MILPITAS, CA 950353111 (Tel: 4082631057)
Registered at 221 WASHINGTON DR, MILPITAS, CA 950353111 (Tel: 4082631057)
Recorded as EDWARD EDERRA
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
221 Washington Dr
Milpitas, CA 950353111
Phone: 4082631057
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