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ANDREA CARRUTH
NPI 1093050718
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Active since December 06, 2012
1839 S EL DORADO ST, STOCKTON, CA 95206(209) 463-0872(209) 466-4446 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2026, Apr 13, 2026, Jun 16, 2017 (3 updates tracked since 2017).

About Andrea Carruth NPPES

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

ANDREA CARRUTH (NPI 1093050718) is an individual addiction (substance use disorder) provider in Stockton, California and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1093050718
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameANDREA CARRUTH
Location Address1839 S EL DORADO STStockton, CA 95206-2025
Mailing Address1839 S El Dorado StStockton, CA 95206-2025 · (209) 463-0872 · Fax (209) 466-4446
Phone(209) 463-0872
Fax(209) 466-4446
Sole ProprietorNo
Enumeration DateDecember 6, 2012
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1093050718 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
1839 S EL DORADO ST, Stockton, CA 95206
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Other Providers at the Same Location NPPES 20

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

CYRUS YANOS FNP
Nurse Practitioner
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 466-4200
ARIELLE RAYANA HARRELL
Counselor (Addiction (Substance Use Disorder))
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 463-0872
CIERRA DENISE JONES
Counselor (Addiction (Substance Use Disorder))
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 463-0872
HUTCHISON PHARMACIES INC
Pharmacy (Community/Retail Pharmacy)
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 466-2439
MR. THEODORE EDWARD ANDERSON IV
Counselor (Addiction (Substance Use Disorder))
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 463-0872
AMANDA MARIE BENITEZ
Counselor (Addiction (Substance Use Disorder))
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 463-0872
DAISY MARIE GUZMAN
Counselor (Addiction (Substance Use Disorder))
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 463-0872
CARMEN JOSEFINA ISABEL GOMEZ CORTEZ
Counselor (Addiction (Substance Use Disorder))
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 466-4200

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 Andrea Carruth's NPI number?

The NPI number for Andrea Carruth is 1093050718. It was assigned to this individual provider in the NPPES registry on December 6, 2012.

Where is Andrea Carruth located?

Andrea Carruth practices at 1839 S El Dorado St, Stockton, CA 95206. The listed phone number is (209) 463-0872.

What is Andrea Carruth'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 Andrea Carruth was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.