Michael R. Chiarottino, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

#G39528 Issued in CA

Practice address

1750 Bridgeway
Suite B105
Sausalito, CA 94965-1993

Phone

(415) 331-2113

Fax

(415) 331-2114

NPI assigned

Mar 7, 2010

Last updated

Mar 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1267920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267920000000",
    "number": "1124341060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 BRIDGEWAY",
            "address_2": "SUITE B105",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651993",
            "telephone_number": "415-331-2113",
            "fax_number": "415-331-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 BRIDGEWAY",
            "address_2": "SUITE B105",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651993",
            "telephone_number": "415-331-2113",
            "fax_number": "415-331-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAROTTINO",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-07",
        "last_updated": "2010-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "#G39528",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G39528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Jessica Carlevato, R.D.
• Lindsay Caspi, MA, AMFT
• Barbara Ann Cedarblade, MFT INTERN 59710
• Helen Chandler, NP
• Michael C Chase, MD
• Siegried Audfrey Flores Chin, MD
• Holly Louise Christman, M.D.
• Mert Civan
• Fiona Clements, MD
• Namuun Clifford, FNP

• Addiction Medicine (Family Medicine) Physician in Sausalito, CA
• Providers in Sausalito, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.