NPIMap

Organization Active NPI

Ah Addiction Care PC

Doing business as Anonymous Health

  • Addiction Medicine (Family Medicine) Physician
  • Redwood City, CA
National Provider Identifier
1295516128
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
AH ADDICTION CARE PC
Doing business as
Anonymous Health
Practice address
303 Twin Dolphin Drive
Suite 600 #6002
Redwood City, CA 94065-9406
Phone
(740) 350-3565
NPI assigned
Oct 6, 2023
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Joshua Duskey
Title
Director, Market Development
Phone
(740) 350-3565

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X NU
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X NU
Family Medicine Physician 207Q00000X NU
Addiction Medicine (Family Medicine) Physician 207QA0401X NU Primary

Addresses

Primary practice location

303 Twin Dolphin Drive
Suite 600 #6002
Redwood City, CA 94065-9406

Mailing address

303 Twin Dolphin Drive
Suite 600 #6002
Redwood City, CA 94065

Other practice location 1

721 Depot Dr
Anchorage, AK 99501-1615
Phone (740) 350-3565

Other practice location 2

2900 NW Clearwater Dr Ste 200-109
Bend, OR 97703-9410
Phone (740) 350-3565

Other names 1

  • Anonymous Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240708000175 AK Part B Supplier - Clinic/Group Practice 2668916214 Receives reassigned benefits from 4 practitioners
Practice locations: Juneau, AK
O20240708000250 OR Part B Supplier - Clinic/Group Practice 2668916214 Receives reassigned benefits from 8 practitioners
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

721 Depot Dr
Anchorage, AK 99501
Phone (201) 293-7689

303 Twin Dolphin Dr
Ste 600
Redwood City, CA 94065
Phone (740) 350-3565

2900 NW Clearwater Dr
Ste 200109
Bend, OR 97703
Phone (740) 350-3565

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1295516128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 TWIN DOLPHIN DRIVE",
            "address_2": "SUITE 600 #6002",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 TWIN DOLPHIN DRIVE",
            "address_2": "SUITE 600 #6002",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940659406",
            "telephone_number": "740-350-3565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Depot Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995011615",
            "country_code": "US",
            "telephone_number": "740-350-3565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 NW Clearwater Dr Ste 200-109",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977039410",
            "country_code": "US",
            "telephone_number": "740-350-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AH ADDICTION CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "DUSKEY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DIRECTOR, MARKET DEVELOPMENT",
        "authorized_official_telephone_number": "740-350-3565"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anonymous Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anonymous Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.