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

Jose Maximiliano Ponssa

Individual provider Community Health Worker · NPI 1619776986

Jose Maximiliano Ponssa is a Community Health Worker in Vallejo, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7290
Phone: (707) 648-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1619776986
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 10, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

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