Active NPI
Christian Ryan Odaniel
- Day Training/Habilitation Specialist
- San Mateo, CA
National Provider Identifier
1912728239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 2251 Palm Ave
San Mateo, CA 94403-1814 - Phone
- (650) 513-6500
- NPI assigned
- Oct 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19530 | CA | |
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
2251 Palm Ave
San Mateo, CA 94403-1814
Mailing address
815 Old County Rd Apt 236
Belmont, CA 94002-2480
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Services Inc. | Current | Accepting new patients | |
| Horizon Services, Incorporated | Past | Accepting new patients |
Locations
2251 Palm Ave
San Mateo, CA 94403
Phone (650) 513-6500
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- San Mateo, CA
- NPI 1598518680
-
- Substance Abuse Rehabilitation Facility
- San Mateo, CA
- NPI 1689961617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1912728239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 OLD COUNTY RD APT 236",
"city": "BELMONT",
"state": "CA",
"postal_code": "940022480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 PALM AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031814",
"telephone_number": "650-513-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODANIEL",
"first_name": "CHRISTIAN",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-19",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "19530",
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.