Active NPI
Vanessa Diane Robinson
- Addiction (Substance Use Disorder) Counselor
- Oakland, CA
National Provider Identifier
1659589729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1003261055
- Practice address
- 3408 Andover St
Oakland, CA 94609-2817 - Phone
- (510) 547-1531
- Fax
- (510) 547-1543
- NPI assigned
- May 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1003261055 | CA | Primary |
Addresses
Primary practice location
3408 Andover St
Oakland, CA 94609-2817
Mailing address
101 Gough St
San Francisco, CA 94102-5903
Phone (415) 553-4490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1003261055 | Other | CA | REGISTERED ADDICTION SPECIALIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1003261055 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1659589729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941025903",
"telephone_number": "415-553-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 ANDOVER ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092817",
"telephone_number": "510-547-1531",
"fax_number": "510-547-1543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "VANESSA",
"middle_name": "DIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-20",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1003261055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED ADDICTION SPECIALIST",
"identifier": "R1003261055",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.