Daniel Jonathan Lanzarin IV, CADC-CAS C031100215

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

C031100215 Issued in CA

Practice address

550 Quarry Rd FL 3
San Carlos, CA 94070-6221

Phone

(650) 421-3502

Fax

(650) 598-2860

NPI assigned

Mar 12, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

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": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1659694073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 QUARRY RD",
            "address_2": "3RD FLOOR",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "94070",
            "telephone_number": "650-508-6745",
            "fax_number": "650-599-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 QUARRY RD FL 3",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706221",
            "telephone_number": "650-421-3502",
            "fax_number": "650-598-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZARIN",
        "first_name": "DANIEL",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "CADC-CAS C031100215",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C031100215",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "122789",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "C031100215",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "C031100215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS - CCAPP",
            "identifier": "C031100215",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.