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TED TAVOLAZZI JR.
NPI 1285058933
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Active since February 14, 2014
1100 N D ST, SAN BERNARDINO, CA 92410(909) 884-0840(909) 885-6852 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ted Tavolazzi Jr. NPPES

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

TED TAVOLAZZI JR. (NPI 1285058933) is an individual addiction (substance use disorder) provider in San Bernardino, California, licensed in California (AII058300518) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1285058933
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTED TAVOLAZZI JR.
Location Address1100 N D STSan Bernardino, CA 92410-3524
Mailing Address1100 N D StSan Bernardino, CA 92410-3524 · (909) 884-0840 · Fax (909) 885-6852
Phone(909) 884-0840
Fax(909) 885-6852
Sole ProprietorNo
Enumeration DateFebruary 14, 2014
Last NPPES UpdateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1285058933 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 · AII058300518
1100 N D ST, San Bernardino, CA 92410
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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.

CHRISTOPHER DODD
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
JESSICA BAUTISTA DE MORA
Case Manager/Care Coordinator
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
VETERANS ALCOHOL REHABILITATION PROGRAM
Substance Abuse Rehabilitation Facility
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
KEITH STEPHENS
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
RICHARD VELIS
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
ADAM LAWRENCE BASTUBA
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
FREDDY SANCHEZ NAVAR CATC NO. 228278 I
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
MS. JENNIFER MARIE MENDOZA
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840

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 Ted Tavolazzi's NPI number?

The NPI number for Ted Tavolazzi is 1285058933. It was assigned to this individual provider in the NPPES registry on February 14, 2014.

Where is Ted Tavolazzi located?

Ted Tavolazzi practices at 1100 N D St, San Bernardino, CA 92410. The listed phone number is (909) 884-0840.

What is Ted Tavolazzi'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 Ted Tavolazzi was last updated on March 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.