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Lucio Dominic Vera, RADT 1

Counselor, Addiction (Substance Use Disorder) in San Francisco, CA. Individual provider (NPI-1).

NPI number1962023952
StatusActive
Last updated in NPPESAug 9, 2021

Details

NPI
1962023952
Entity type
Individual (NPI-1)
Name
Mr. Lucio Dominic Vera
Credential
RADT 1
Sex
Male
Sole proprietor
No
Enumeration date
Apr 30, 2020
Certification date
Aug 9, 2021
Last updated
Aug 9, 2021

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 codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)R1388890520CAYes
101YA0400X Counselor, Addiction (Substance Use Disorder)––

Practice location

1601 Donner Ave
San Francisco, CA 94124-3276

Phone 415-762-3700

Mailing address

1563 Mission St
San Francisco, CA 94103-2543

Phone 415-762-3700

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.

Other Addiction (Substance Use Disorder) Counselor providers in San Francisco, CA

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