Active NPI
Angelica Rebolledo Gomez
- Addiction (Substance Use Disorder) Counselor
- San Francisco, CA
National Provider Identifier
1053284877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22539
- Practice address
- 1724 Bryant St
San Francisco, CA 94110-1406 - Phone
- (650) 244-1444
- NPI assigned
- Sep 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22539 | CA | Primary |
Addresses
Primary practice location
1724 Bryant St
San Francisco, CA 94110-1406
Mailing address
1724 Bryant St
San Francisco, CA 94110-1406
Phone (650) 244-1444
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latino Commission on Alcohol and Drug Abuse Services of San Mateo Coun | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Children's Substance Abuse Rehabilitation Facility
- San Francisco, CA
- NPI 1588700264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1053284877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 BRYANT ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941101406",
"telephone_number": "650-244-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 BRYANT ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941101406",
"telephone_number": "650-244-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBOLLEDO GOMEZ",
"first_name": "ANGELICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-26",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "22539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 26, 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.