Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edgar Ontiveros

Organization Case Management Agency · NPI 1376821108

Edgar Ontiveros is a Case Management Agency in Clearlake, California. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

15204 Lakeshore Dr
Clearlake, CA 95422-8107
Phone: (170) 726-3433
Fax: (170) 726-3433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1376821108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edgar Ontiveros — Case Manager Hispanic Outreach · (707) 263-4338
Other names Mental Health
NPI enumeratedJuly 27, 2011
Last updated in NPPESJuly 27, 2011
Mailing address15204 Lakeshore Dr, Clearlake, CA 95422-8107

Other providers in Clearlake