ROBERT EUGENE GIDEON RADT
NPI 1215616768
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since July 12, 2023
1501 IMPERIAL AVE, SAN DIEGO, CA 92101(619) 865-1454 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Eugene Gideon Radt NPPES

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

ROBERT EUGENE GIDEON RADT (NPI 1215616768) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (R1455910122) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1215616768
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameROBERT EUGENE GIDEONCredential: RADT
Location Address1501 IMPERIAL AVESan Diego, CA 92101-7638
Mailing Address8910 Clairemont Mesa BlvdSan Diego, CA 92123 · (858) 514-5100
Sole ProprietorNo
Enumeration DateJuly 12, 2023
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 12, 2023
NPI 1215616768 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 · R1455910122
1501 IMPERIAL AVE, San Diego, CA 92101

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.

Psychologist (Clinical Child & Adolescent)
1501 IMPERIAL AVE
SAN DIEGO, CA 92101
Family Medicine
1501 IMPERIAL AVE
SAN DIEGO, CA 92101
Counselor (Addiction (Substance Use Disorder))
1501 IMPERIAL AVE
SAN DIEGO, CA 92101
Psychiatry & Neurology (Psychiatry)
1501 IMPERIAL AVE
SAN DIEGO, CA 92101
Chiropractor
1501 IMPERIAL AVE
SAN DIEGO, CA 92101
Counselor (Addiction (Substance Use Disorder))
1501 IMPERIAL AVE
SAN DIEGO, CA 92101
Social Worker (Clinical)
1501 IMPERIAL AVE
SAN DIEGO, CA 92101
Counselor (Mental Health)
1501 IMPERIAL AVE
SAN DIEGO, CA 92101

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 Robert Gideon's NPI number?

The NPI number for Robert Gideon is 1215616768. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Robert Gideon located?

Robert Gideon practices at 1501 Imperial Ave, San Diego, CA 92101. The listed phone number is (619) 865-1454.

What is Robert Gideon'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 Robert Gideon was last updated on July 21, 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.