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CAROLYN GEORGINE PREMO
NPI 1285520510
Day Training/Habilitation Specialist in San Mateo, CA

Active since June 13, 2025
411 BOREL AVE STE 101, SAN MATEO, CA 94402(650) 372-4080 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2025, Jul 1, 2025, Jun 13, 2025 (3 updates tracked since 2025).

About Carolyn Georgine Premo NPPES

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

CAROLYN GEORGINE PREMO (NPI 1285520510) is an individual day training/habilitation specialist in San Mateo, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1285520510
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameCAROLYN GEORGINE PREMO
Location Address411 BOREL AVE STE 101San Mateo, CA 94402-3525
Mailing Address411 Borel Ave Ste 101San Mateo, CA 94402-3525 · (650) 372-4080
Phone(650) 372-4080
Sole ProprietorYes
Enumeration DateJune 13, 2025
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1285520510 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
411 BOREL AVE STE 101, San Mateo, CA 94402
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Other Providers at the Same Location NPPES 12

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

LORENZO J CABALLERO
Day Training/Habilitation Specialist
411 BOREL AVE STE 101
SAN MATEO, CA 94402
San Mateo County (650) 372-4080
KRYSTAL GONZALEZ
Community Health Worker
411 BOREL AVE STE 101
SAN MATEO, CA 94402
San Mateo County (650) 393-8929
ELECTRA BARBARA KASSIMIDIS LVN
Licensed Vocational Nurse
411 BOREL AVE STE 101
SAN MATEO, CA 94402
San Mateo County (650) 393-8908
CASSANDRA FRANCO
Community Health Worker
411 BOREL AVE STE 101
SAN MATEO, CA 94402
San Mateo County (650) 303-8908
EDUARDO CHRISTIAN NAVARRO JR.
Counselor
411 BOREL AVE STE 101
SAN MATEO, CA 94402
San Mateo County (650) 372-4080
RAQUEL FERRER
Counselor (Mental Health)
411 BOREL AVE STE 101
SAN MATEO, CA 94402
San Mateo County (650) 393-8939
MASOOMA AKBAR
Case Manager/Care Coordinator
411 BOREL AVE STE 101
SAN MATEO, CA 94402
San Mateo County (949) 590-0046
ADAN AGAPITO PASTRANA
Community Health Worker
411 BOREL AVE STE 101
SAN MATEO, CA 94402
San Mateo County (650) 393-8908

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 Carolyn Premo's NPI number?

The NPI number for Carolyn Premo is 1285520510. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is Carolyn Premo located?

Carolyn Premo practices at 411 Borel Ave Ste 101, San Mateo, CA 94402. The listed phone number is (650) 372-4080.

What is Carolyn Premo's specialty?

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

When was this NPI record last updated?

The NPPES record for Carolyn Premo was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.