Damien Rader

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C054300518 Issued in CA

Practice address

955 E Thompson Blvd
Ventura, CA 93001-3008

Phone

(805) 641-9001

Fax

(805) 941-9040

NPI assigned

Nov 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1447895685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 E META ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013122",
            "telephone_number": "805-921-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E THOMPSON BLVD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013008",
            "telephone_number": "805-641-9001",
            "fax_number": "805-941-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "DAMIEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C054300518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R F Ccollins & S Goodman PTRS
• R Malekzadeh, D.D.S., Inc.
• Angela Rabkin, M.D.
• Rachel Dittmar Marriage and Family Therapy, Inc.
• Sara Radding, MFT
• Jennifer Marie Radford, RN
• Cynthia Radnitz, PH.D.
• Rafael Canton M.D.
• Alvin Rafou, DO
• Sherri Ragan, BCBA, LMFT

• Addiction (Substance Use Disorder) Counselor in Ventura, CA
• Providers in Ventura, 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 Nov 12, 2019; 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.