Active NPI
Abdul Rahim Owens I
- Day Training/Habilitation Specialist
- San Francisco, CA
National Provider Identifier
1043519150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 673 San Jose Ave
San Francisco, CA 94110-4914 - Phone
- (415) 282-3789
- NPI assigned
- Mar 16, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | B6731917 | CA | |
| Mental Health Counselor | 101YM0800X | B6731917 | CA | |
| Community Health Worker | 172V00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
673 San Jose Ave
San Francisco, CA 94110-4914
Mailing address
4368 Lincoln Ave
4368 Lincoln
Oakland, CA 94602-2529
Phone (510) 531-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5BASEBALL | Other | CA | MEDI-CAL |
Other names 1
- Mr. Abdul Rahim Owens I
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B6731917 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Places, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1720125925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1043519150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4368 LINCOLN AVE",
"address_2": "4368 LINCOLN",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946022529",
"telephone_number": "510-531-3111",
"fax_number": "510-530-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "673 SAN JOSE AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941104914",
"telephone_number": "415-282-3789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "ABDUL",
"middle_name": "RAHIM",
"name_prefix": "Mr.",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "B6731917",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "B6731917",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "5BASEBALL",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ABDUL",
"last_name": "OWENS",
"middle_name": "RAHIM",
"prefix": "MR.",
"suffix": "I",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.