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JUAN JOSE BOLANOS
NPI 1013620699
Counselor - Addiction (Substance Use Disorder) in Richmond, CA

Active since December 28, 2022
12960 SAN PABLO AVE, RICHMOND, CA 94805(510) 215-2280(510) 215-2283 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2023, Dec 28, 2022 (2 updates tracked since 2022).

About Juan Jose Bolanos NPPES

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

JUAN JOSE BOLANOS (NPI 1013620699) is an individual addiction (substance use disorder) provider in Richmond, California, licensed in California (R1488401122) and active in the NPI registry since December 2022. He maintains a secondary practice location in San Pablo.

NPPES Registry Identity

NPI1013620699
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJUAN JOSE BOLANOS
Location Address12960 SAN PABLO AVERichmond, CA 94805-1307
Mailing Address1901 Church LnSan Pablo, CA 94806-3707 · (516) 236-1004 · Fax (510) 236-3200
Phone(510) 215-2280
Fax(510) 215-2283
Sole ProprietorNo
Enumeration DateDecember 28, 2022
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1013620699 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 · R1488401122
12960 SAN PABLO AVE, Richmond, CA 94805
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Secondary Practice Location 1

Location 11901 Church LnSan Pablo, CA 94806-3707 · Phone (516) 236-1004 · Fax (510) 236-3200

Other Identifiers 1

OtherR1488401122CA · Credentials

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.

DONNA MARIE YOURY
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
UJMA FAMILY RECOVERY SERVICES
Community/Behavioral Health
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
SHYRA D'ANN JACKSON
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
BERNICE WIVAGG
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
CHELSEY ELIZABETH CARDENAS REYNOLDS SURDC
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
EDWIN JAMES MACCASKIE AOD COUNSELOR
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 236-3139
LARON WILSON
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2800
ALAREN LEE FRAZIER
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280

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 Juan Bolanos's NPI number?

The NPI number for Juan Bolanos is 1013620699. It was assigned to this individual provider in the NPPES registry on December 28, 2022.

Where is Juan Bolanos located?

Juan Bolanos practices at 12960 San Pablo Ave, Richmond, CA 94805. The listed phone number is (510) 215-2280.

What is Juan Bolanos'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 Juan Bolanos was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.