Provider Demographics
NPI:1245604818
Name:YANDALL, ANNABELLE SILIGA
Entity type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:SILIGA
Last Name:YANDALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E LELAND RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-4961
Mailing Address - Country:US
Mailing Address - Phone:925-439-9628
Mailing Address - Fax:925-439-9639
Practice Address - Street 1:300 E LELAND RD
Practice Address - Street 2:STE.100
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-4960
Practice Address - Country:US
Practice Address - Phone:925-439-9628
Practice Address - Fax:925-439-9639
Is Sole Proprietor?:No
Enumeration Date:2015-11-19
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225400000X
171M00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health