ROBERT BOSTONIAN


Address: 67 Grande Paseo, San Rafael, CA 94903-1555
Phone: 4155355554

ROBERT BOSTONIAN (NPI# 1295104420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295104420
Entity Type Individual
Full Name ROBERT BOSTONIAN
Practice Address 67 Grande Paseo
San Rafael
CA 94903-1555
Mailing Address Po Box 3517
San Rafael
CA 94912-3517
Practice Telephone 4155355554
Mailing Telephone 4155355554
Enumeration Date 2015-09-17
Last Update Date 2015-09-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 122932 CA Residential Treatment Facilities

Office Location

Street Address 67 GRANDE PASEO
City SAN RAFAEL
State CA
Zip Code 94903-1555

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
1134769482 Katherine Sieger Music Therapist 400 Civic Center Dr. #300, San Rafael, CA 94903 2020-01-14
1679064836 California In Home Care & Registry, Inc In Home Supportive Care 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 2018-05-23
1922557586 Helen Elizabeth Shamis Marriage & Family Therapist 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 2016-09-23
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1659736924 Robyn Bloom Marriage & Family Therapist 4 Joseph Court, San Rafael, CA 94903 2015-12-30
1851760565 Cheryl Clementson Substance Abuse Rehabilitation Facility 301 Smith Ranch Road, San Rafael, CA 94903 2015-09-23
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1083002315 Kaiser Permanente Psychiatric Unit 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 2015-01-09
1366857856 Travel Well Corporation Preventive Medicine 28 Mitchell Blvd, San Rafael, CA 94903 2014-06-24
Find all providers in zip 94903

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982246815 Ca Ya Services LLC Substance Abuse Rehabilitation Facility 285 Margarita Dr, San Rafael, CA 94901-2329 2019-10-11
1851760565 Cheryl Clementson Substance Abuse Rehabilitation Facility 301 Smith Ranch Road, San Rafael, CA 94903 2015-09-23
1982071833 Brian Finley Substance Abuse Rehabilitation Facility 195 Nova Albion Way Apt 21, San Rafael, CA 94903-4528 2015-08-26
1003206228 Helen Vine Recovery Center Substance Abuse Rehabilitation Facility 291 Smith Ranch Rd, San Rafael, CA 94903-5551 2015-01-26
1669716361 North Bay Recovery Center, LLC Substance Abuse Rehabilitation Facility 55 Shaver St, San Rafael, CA 94901-2787 2012-11-19
1801041074 Bayside Marin, LLC Substance Abuse Rehabilitation Facility 718 4th St, San Rafael, CA 94901-3213 2008-12-01
1316169576 Center Point, Inc. Substance Abuse Rehabilitation Facility 39 Mary St, San Rafael, CA 94901-3451 2007-05-03
1235351487 Center Point, Inc. Substance Abuse Rehabilitation Facility 519 Belle Ave, San Rafael, CA 94901-3414 2007-05-03
1760601355 Center Point, Inc. Substance Abuse Rehabilitation Facility 812 D St, San Rafael, CA 94901-2814 2007-04-24
1851510440 Center Point, Inc Substance Abuse Rehabilitation Facility 1477 Lincoln Ave, San Rafael, CA 94901-2028 2007-04-24
Find all providers in SAN RAFAEL

Competitor

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City SAN RAFAEL
Zip Code 94903

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Dataset Information

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.

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