George W. Mares, COUNSELOR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RI-M0608301137 Issued in CA

Practice address

1286 Callen St
Vacaville, CA 95688-3002

Phone

(707) 447-8982

Fax

(707) 447-3205

NPI assigned

Apr 22, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1043485972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 CALLEN ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883002",
            "telephone_number": "707-447-8982",
            "fax_number": "707-447-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 CALLEN ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883002",
            "telephone_number": "707-447-8982",
            "fax_number": "707-447-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARES",
        "first_name": "GEORGE",
        "middle_name": "W.",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-M0608301137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "4838",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aileen Manzano, D.M.D
• Percival Magpusao Manzano, DDM
• Michelle Lumiwes Maravilla
• Jennifer Marcelli
• Jason James Marengo, M.D.
• Anthony Marino, D.D.S., M.S.
• Shauna Marioni II, MSN, NP, CNM
• Brittany Lauren Mariscal
• Mark David Levine, M.D. Davis, Professional Corporation
• Mark'S Growing Center, Inc.

• Addiction (Substance Use Disorder) Counselor in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.