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Organization Active NPI

Caminar

Doing business as Project Ninety 247A

  • Substance Abuse Rehabilitation Facility
  • San Mateo, CA
National Provider Identifier
1164853644
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
410005WN Issued in CA
Legal business name
CAMINAR
Doing business as
Project Ninety 247A
Practice address
114 S Delaware St
San Mateo, CA 94401-3222
Phone
(650) 333-4226
NPI assigned
Dec 9, 2013
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Jennifer Lynn StearnsNPI 1366675373
Title
Director of Quality
Phone
(408) 841-4107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 410005WN CA Primary

Addresses

Primary practice location

114 S Delaware St
San Mateo, CA 94401-3222

Mailing address

411 Borel Ave Ste 101
San Mateo, CA 94402-3525
Phone (650) 372-4080

Other names 1

  • Project Ninety 247A Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caminar31 organizations share this tax ID, including this one

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  • Caminar

    dba Project Ninety Kleinheinz House

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    • San Mateo, CA
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    NPD tax ID
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    NPD tax ID
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View all 30

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1164853644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BOREL AVE STE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023525",
            "telephone_number": "650-372-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S DELAWARE ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013222",
            "telephone_number": "650-333-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMINAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "STEARNS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY",
        "authorized_official_telephone_number": "408-841-4107"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "410005WN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project Ninety 247A",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Project Ninety 247A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.