IndividualActive
Jack Hueyi Citlalin
NPI 1487196697 · Peer Specialist · Long Beach, WA
Provider details
- NPI number
- 1487196697
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2204 Pacific Ave N
Long Beach, WA 98631-3300
Phone: (360) 642-3787
Street-level locationGet directions
Mailing address
2204 Pacific Ave N
Long Beach, WA 98631-3300
Additional practice locations (1)
- 70362 Kunze LnBoardman, OR 97818-8013Phone: (541) 481-3233Fax: (541) 481-3234
Registry dates
- Enumerated
- 2016-11-07
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.