MR. ERIC JOSEPH PETERS SR. (NPI# 1912375254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912375254 |
Entity Type | Individual |
Full Name | MR. ERIC JOSEPH PETERS SR. |
Practice Address |
629 Wilson Ave Novato CA 94947-3823 |
Mailing Address |
301 Smith Ranch Road San Rafael CA 94903 |
Practice Telephone | 4154920818 |
Practice Fax Number | 4154920834 |
Mailing Telephone | 4154920818 |
Mailing Fax Number | 4154920834 |
Enumeration Date | 2015-09-03 |
Last Update Date | 2015-09-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | P0809051024 | CA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | N5526983 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881200632 | Eric David Peters | Pathology | 11545 E Quiet Valley Pl, Tucson, AZ 85749-8884 | 2020-09-17 |
1386915882 | Eric R Peters | Pharmacist | 2200 N Hwy A1a, Indialantic, FL 32903-2511 | 2012-01-16 |
1245442748 | Eric Drue Peters | Internal Medicine | 601 North 30th Street, Suite 5850, Omaha, NE 68131 | 2007-05-04 |
1134100399 | Eric Peters | Podiatrist | 171 E Post Rd, Ste 210-211, White Plains, NY 10601 | 2005-11-07 |
1740666551 | Eric Peters | Physical Therapy Assistant | 6499 E Broad St, Columbus, OH 43213-6505 | 2015-08-04 |
1225419237 | Eric Peters | Social Worker | 1 Leo Moss Dr, Olean, NY 14760-1156 | 2015-06-16 |
1740523059 | Eric Michael Peters | Radiology | 11234 Anderson St, Loma Linda University Medical Center - Radiology, Loma Linda, CA 92354-2804 | 2013-04-04 |
1023378171 | Eric M Peters | Dentist | 75 Sherry Ave, Park Falls, WI 54552-1468 | 2012-05-23 |
1386959088 | Eric Peters | Pharmacist | 4485 Perkins Rd, Baton Rouge, LA 70808-3034 | 2010-08-18 |
1760619159 | Eric M. Peters | Student in an Organized Health Care Education/Training Program | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2009-06-12 |
Street Address |
629 WILSON AVE |
City | NOVATO |
State | CA |
Zip Code | 94947-3823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
Find all providers in zip 94947 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275178014 | Avery Lane | Substance Abuse Rehabilitation Facility | 685 Atherton Ave, Novato, CA 94945-2617 | 2019-11-15 |
1518312529 | Living At Reflections, LLC | Substance Abuse Rehabilitation Facility | 10 Lockton Ln, Novato, CA 94945-2727 | 2016-04-27 |
1356715098 | Jesse Jones | Substance Abuse Rehabilitation Facility | 530 Loleta Ln, Novato, CA 94947-5210 | 2015-11-18 |
1174862064 | Living At Reflections LLC | Substance Abuse Rehabilitation Facility | 1191 Simmons Ln, Novato, CA 94945-1735 | 2013-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.