Chad Avalon

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2560 Pulgas Ave
East Palo Alto, CA 94303-1323

Phone

(650) 437-0492

NPI assigned

Oct 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1780134890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 CHESTNUT ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604918",
            "telephone_number": "503-801-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 PULGAS AVE",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031323",
            "telephone_number": "650-437-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALON",
        "first_name": "CHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corliss Beatrice Anderson
• Carson Applewhite, R.N.
• Adriana Arroyo, RN
• Ifeyinwa Asiodu, RN, PHN
• Attention Care Inc
• Celeste Avelar-Romo
• Britney Valeria Avila Serritos
• Lilia Baez Mendoza
• Maribel Barner
• Gerardo Barragan

• Addiction (Substance Use Disorder) Counselor in East Palo Alto, CA
• Providers in East Palo Alto, 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 Oct 12, 2016; 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.