ANDREW DONALD DERTIEN
NPI 1013512383
Counselor - Addiction (Substance Use Disorder) in San Francisco, CA

Active since December 03, 2020
1111 MARKET ST FL 1, SAN FRANCISCO, CA 94103(415) 863-3883 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2023, Dec 3, 2020 (2 updates tracked since 2020).

About Andrew Donald Dertien NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW DONALD DERTIEN (NPI 1013512383) is an individual addiction (substance use disorder) provider in San Francisco, California, licensed in California (R1410691120) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1013512383
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANDREW DONALD DERTIEN
Location Address1111 MARKET ST FL 1San Francisco, CA 94103-1589
Mailing Address1563 Mission StSan Francisco, CA 94103-2543 · (415) 762-3700 · Fax (415) 865-0119
Sole ProprietorNo
Enumeration DateDecember 3, 2020
Last NPPES UpdateMarch 17, 20232 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
NPI 1013512383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · R1410691120
1111 MARKET ST FL 1, San Francisco, CA 94103

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1111 MARKET ST FL 1
SAN FRANCISCO, CA 94103
Counselor (Professional)
1111 MARKET ST FL 1
SAN FRANCISCO, CA 94103
Technician, Other
1111 MARKET ST FL 1
SAN FRANCISCO, CA 94103
Licensed Vocational Nurse
1111 MARKET ST FL 1
SAN FRANCISCO, CA 94103
Counselor (Addiction (Substance Use Disorder))
1111 MARKET ST FL 1
SAN FRANCISCO, CA 94103
Clinic/Center (Community Health)
1111 MARKET ST FL 1
SAN FRANCISCO, CA 94103
Counselor (Addiction (Substance Use Disorder))
1111 MARKET ST FL 1
SAN FRANCISCO, CA 94103
Registered Nurse
1111 MARKET ST FL 1
SAN FRANCISCO, CA 94103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Dertien's NPI number?

The NPI number for Andrew Dertien is 1013512383. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Andrew Dertien located?

Andrew Dertien practices at 1111 Market St Fl 1, San Francisco, CA 94103. The listed phone number is (415) 863-3883.

What is Andrew Dertien's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Andrew Dertien was last updated on March 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.