Gerrod Herndon, SUDRC #15464

Individual Active
NPI 1689368615
Substance Use Disorder Rehabilitation Clinic/Center San Rafael, CA

NPI 1689368615 belongs to Gerrod Herndon, SUDRC #15464, a substance use disorder rehabilitation clinic/center with a practice location in San Rafael, CA. The NPI was issued on June 5, 2023, and the record was last updated in NPPES on June 5, 2023.

Taxonomies and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X 15464 (CA)

Practice location

603 D St
San Rafael, CA 94901-3719
Phone: (707) 331-5575

Local context

Active NPPES records list 82 providers with substance use disorder rehabilitation clinic/center as the primary taxonomy within 25 miles of this practice location's ZIP code, 11 of them within 10 miles.

The same primary taxonomy is listed by 1,222 in California and 7,441 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Gerrod Herndon
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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