Michael Smith
Substance Abuse Rehabilitation Facility in San Rafael, CA. Individual provider (NPI-1).
NPI number1033033014
StatusActive
Last updated in NPPESAug 4, 2026
Details
- NPI
- 1033033014
- Entity type
- Individual (NPI-1)
- Name
- Michael Smith
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2026
- Certification date
- Aug 4, 2026
- Last updated
- Aug 4, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
207 1st StSan Rafael, CA 94901-3739
Phone 925-723-3390
Mailing address
680 Junction Ave Apt 204Livermore, CA 94551-4390
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Substance Abuse Rehabilitation Facility providers in San Rafael · All 3,698 providers in San Rafael
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