MR. COMMODORE WILLIAM
NPI 1205274891
Day Training/Habilitation Specialist in San Carlos, CA

Q: What is Commodore William's NPI number?

The NPI number for Commodore William is 1205274891. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Q: What is Commodore William's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

Q: When was this NPI record last updated?

The NPPES record for Commodore William was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 05, 2013

1692 EL CAMINO REAL, SAN CARLOS, CA 94070(508) 179-0706(650) 817-9074 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Commodore William NPPES

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

MR. COMMODORE WILLIAM (NPI 1205274891) is an individual day training/habilitation specialist in San Carlos, California and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1205274891

Entity TypeIndividualMale

Primary Taxonomy373H00000X

Provider Legal NameMR. COMMODORE WILLIAM

Location Address1692 EL CAMINO REALSan Carlos, CA 94070-5208

Mailing AddressPo Box 1329San Carlos, CA 94070-7329 · (650) 817-9070 · Fax (650) 817-9074

Phone(508) 179-0706

Fax(650) 817-9074

Sole ProprietorNo

Enumeration DateJune 5, 2013

Last NPPES UpdateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1205274891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Also ListedCommunity Health WorkerTaxonomy 172V00000X

1692 EL CAMINO REAL, San Carlos, CA 94070

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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.

VENERA GUMEROVA

Day Training/Habilitation Specialist