Active NPI
Raymond Patino, CADC-II CA
- Addiction (Substance Use Disorder) Counselor
- Merced, CA
National Provider Identifier
1144420191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- AII2701214
- Practice address
- 301 E 13TH St Ste a
Merced, CA 95341 - Phone
- (209) 381-6850
- Fax
- (209) 385-3174
- NPI assigned
- Jul 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A021790216 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AII2701214 | CA | Primary |
Addresses
Primary practice location
301 E 13TH St Ste a
Merced, CA 95341
Mailing address
PO Box 2087
Merced, CA 95344-0087
Other practice location 1
40 W G St
Los Banos, CA 93635-3657
Phone (209) 710-6100
Other practice location 2
480 E 13th St
Merced, CA 95341-6214
Phone (209) 381-6850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073635405 | Medicaid | CA |
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 |
|---|---|---|---|
| A021790216 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| AII2701214 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1144420191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2087",
"city": "MERCED",
"state": "CA",
"postal_code": "953440087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E 13TH ST STE A",
"city": "MERCED",
"state": "CA",
"postal_code": "95341",
"telephone_number": "209-381-6850",
"fax_number": "209-385-3174"
}
],
"practiceLocations": [
{
"address_1": "40 W G St",
"address_purpose": "LOCATION",
"city": "Los Banos",
"state": "CA",
"postal_code": "936353657",
"country_code": "US",
"telephone_number": "209-710-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "480 E 13th St",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953416214",
"country_code": "US",
"telephone_number": "209-381-6850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATINO",
"first_name": "RAYMOND",
"credential": "CADC-II CA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A021790216",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "AII2701214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073635405",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.