Hilario Fortuna, CADC-II, ICADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A017950315 Issued in CA

Practice address

12183 Locksley LN Ste 101
Auburn, CA 95602-2050

Phone

(530) 885-1961

NPI assigned

Sep 28, 2012

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Granite Wellness Centers

  dba Roseville Campus

  • Community/Behavioral Health Agency
  • Roseville, CA
  • NPI 1255526042
  NPD (past)
• Granite Wellness Centers

  dba Grass Valley Campus

  • Community/Behavioral Health Agency
  • Grass Valley, CA
  • NPI 1750500237
  NPD (past)

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1427309525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12183 LOCKSLEY LN STE 101",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12183 LOCKSLEY LN STE 101",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022050",
            "telephone_number": "530-885-1961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 3rd St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "CA",
            "postal_code": "956482500",
            "country_code": "US",
            "telephone_number": "916-434-8927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Sunrise Avenue",
            "address_2": "Building 200, Ste-210-250",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956619566",
            "country_code": "US",
            "telephone_number": "530-878-5166 x317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTUNA",
        "first_name": "HILARIO",
        "credential": "CADC-II, ICADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "F1009191239",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A017950315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliet Aline Forbes
• Foreman Eye Care, Inc.
• Daniel Stuart Foreman, MD
• Razieh Forghany, PHARMD
• Christine Forsterer, MFTI
• David Vernon Foster, M.D.
• Rachel Foster, FNP
• Roberta B Foster, NP
• Stacy Foulke, LPCC
• Debra O Foust, MFT

• Addiction (Substance Use Disorder) Counselor in Auburn, CA
• Providers in Auburn, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.