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

Mr. Ysidro Nieto

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184801698

Mr. Ysidro Nieto is an Addiction (Substance Use Disorder) Counselor in Glendale, California. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

4628 San Fernando Rd
Glendale, CA 91204-1822
Phone: (818) 240-8843
Fax: (818) 240-8885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1184801698
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 28, 2008
Last updated in NPPESJanuary 28, 2008
Mailing address4628 San Fernando Rd, Glendale, CA 91204-1822

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