Provider Demographics
NPI:1801787916
Name:MASIGLAT, JOANNA MAE
Entity type:Individual
Prefix:
First Name:JOANNA MAE
Middle Name:
Last Name:MASIGLAT
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 1:1992 KALIS ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-7246
Mailing Address - Country:US
Mailing Address - Phone:707-290-4167
Mailing Address - Fax:
Practice Address - Street 1:1992 KALIS ST
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-7246
Practice Address - Country:US
Practice Address - Phone:707-567-7581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator