Organization Active NPI

Summit Sober Living Inc.

  • Substance Abuse Rehabilitation Facility
  • San Rafael, CA
National Provider Identifier
1659218444
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SUMMIT SOBER LIVING INC.
Practice address
851 Irwin St Ste 302
San Rafael, CA 94901-3343
Phone
(415) 686-5783
NPI assigned
Apr 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Michael Triolo, CADC-CASNPI 1609318385
Title
Ceo
Phone
(415) 686-5783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

851 Irwin St Ste 302
San Rafael, CA 94901-3343

Mailing address

8 Creekside CT
Novato, CA 94945-2150
Phone (415) 686-5783

Other practice location 1

191 Kenwood Ct
Novato, CA 94945-2563
Phone (415) 686-5783

National Provider Directory

National Provider Directory

Locations

851 Irwin St
Ste 302
San Rafael, CA 94901
Phone (415) 686-5783

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1659218444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CREEKSIDE CT",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452150",
            "telephone_number": "415-686-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 IRWIN ST STE 302",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013343",
            "telephone_number": "415-686-5783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Kenwood Ct",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949452563",
            "country_code": "US",
            "telephone_number": "415-686-5783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT SOBER LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "TRIOLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-686-5783",
        "authorized_official_credential": "CADC-CAS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.