CEDRIC DUNN SR. (NPI# 1962763821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962763821 |
| Entity Type | Individual |
| Full Name | CEDRIC DUNN SR. |
| Practice Address |
301 Grand Ave Ste 301 South San Francisco CA 94080-3641 |
| Practice Telephone | 6502441444 |
| Mailing Telephone | 6502441444 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CASA AZTLAN | 410020DN | 01 |
| Street Address |
301 GRAND AVE STE 301 |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598801201 | Camilo Gonzalez | Counselor | 301 Grand Ave Ste 301, South San Francisco, CA 94080-3641 | 2007-01-29 |
| 1174934012 | James Donald Williamson | Counselor | 301 Grand Ave Ste 301, South San Francisco, CA 94080-3641 | 2014-05-14 |
| 1013254556 | Daune Lurann Turner | Counselor | 301 Grand Ave Ste 301, South San Francisco, CA 94080-3641 | 2013-01-03 |
| 1114262417 | Vaelupe Daisy Ena | Counselor | 301 Grand Ave Ste 301, South San Francisco, CA 94080-3641 | 2012-11-28 |
| 1205197167 | Danilo Pedroso | Counselor | 301 Grand Ave Ste 301, South San Francisco, CA 94080-3641 | 2012-06-06 |
| 1124386313 | Genevieve Quintero | Counselor | 301 Grand Ave Ste 301, South San Francisco, CA 94080-3641 | 2012-04-25 |
| 1770891822 | Jorge Morales | Substance Abuse Rehabilitation Facility | 301 Grand Ave Ste 301, South San Francisco, CA 94080-3641 | 2010-09-22 |
| 1710129481 | Ricardo Montanez | Counselor | 301 Grand Ave Ste 301, South San Francisco, CA 94080-3641 | 2009-03-27 |
| 1265607063 | Germaine Beltran | Counselor | 301 Grand Ave Ste 301, South San Francisco, CA 94080-3641 | 2008-04-23 |
| 1144429457 | Bernadette Morales | Counselor | 301 Grand Ave Ste 301, South San Francisco, CA 94080-3641 | 2007-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| 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 |
|---|---|---|---|---|
| 1144651654 | Caminar | Substance Abuse Rehabilitation Facility | 535 Baden Ave, South San Francisco, CA 94080-3511 | 2013-12-09 |
| 1902237803 | Caminar | Substance Abuse Rehabilitation Facility | 195 Spruce Ave, South San Francisco, CA 94080-4658 | 2013-12-03 |
| 1649600909 | Caminar | Substance Abuse Rehabilitation Facility | 314 Baden Ave, South San Francisco, CA 94080-4715 | 2013-11-22 |
| 1588935316 | Rafael Macias | Substance Abuse Rehabilitation Facility | 301 Grand Ave, Suite 301, South San Francisco, CA 94080-3606 | 2012-01-25 |
| 1477831410 | Arturo Gonzalez | Substance Abuse Rehabilitation Facility | 301 Grand Ave, Suite 301, South San Francisco, CA 94080-3606 | 2011-07-25 |
| 1770891822 | Jorge Morales | Substance Abuse Rehabilitation Facility | 301 Grand Ave Ste 301, South San Francisco, CA 94080-3641 | 2010-09-22 |
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| 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 |
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| 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 | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
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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.