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

Innovative Resources SSM

Organization Peer Specialist · NPI 1902643190

Innovative Resources SSM is a Peer Specialist in San Jose, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

619 N 1st St
San Jose, CA 95112-5110
Phone: (916) 891-7552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1902643190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yolanda Lewis — Executive Director · (855) 311-3335
NPI enumeratedJuly 13, 2024
Last updated in NPPESJuly 13, 2024
Certification dateJuly 13, 2024
Mailing address619 N 1st St, San Jose, CA 95112-5110

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