San Rafael Rehab

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SAN RAFAEL REHAB

Practice address

25 Mitchell Blvd Ste 2
San Rafael, CA 94903-2013

Phone

(310) 343-8684

NPI assigned

Nov 4, 2024

Organization subpart

No

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

Authorized official

Name

Shaina Donner

Title

Manager

Phone

(310) 343-8684

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1760205199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MITCHELL BLVD STE 2",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MITCHELL BLVD STE 2",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032013",
            "telephone_number": "310-343-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN RAFAEL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "DONNER",
        "authorized_official_first_name": "SHAINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-343-8684"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie E. Sammons
• San Rafael Care Center, Inc.
• San Rafael City Schools
• San Rafael Healthcare & Wellness Centre, LP
• San Rafael Operating Company LP
• San Rafael Smiles Dentistry, Prof. Corp
• Jessica Sananes
• Yazmin Mariana Sanchez Rodriguez
• Alissa Michelle Sanchez, P.T.
• Wendy A Sanchez, R.N.

• Substance Use Disorder Rehabilitation Clinic/Center in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.