ROBERT BOSTONIAN
NPI 1295104420
Substance Abuse Rehabilitation Facility in San Rafael, CA

Q: What is Robert Bostonian's NPI number?

The NPI number for Robert Bostonian is 1295104420. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Q: What is Robert Bostonian's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Bostonian was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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 September 17, 2015

67 GRANDE PASEO, SAN RAFAEL, CA 94903(415) 535-5554 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Robert Bostonian NPPES

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

ROBERT BOSTONIAN (NPI 1295104420) is an individual substance abuse rehabilitation facility provider in San Rafael, California, licensed in California (122932) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1295104420

Entity TypeIndividualMale

Primary Taxonomy324500000X

Provider Legal NameROBERT BOSTONIAN

Location Address67 GRANDE PASEOSan Rafael, CA 94903-1555

Mailing AddressPo Box 3517San Rafael, CA 94912-3517 · (415) 535-5554

Phone(415) 535-5554

Sole ProprietorYes

Enumeration DateSeptember 17, 2015

✔ NPI 1295104420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in CA · 122932

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

67 GRANDE PASEO, San Rafael, CA 94903

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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 Bostonian's NPI number?

The NPI number for Robert Bostonian is 1295104420. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Where is Robert Bostonian located?

Robert Bostonian practices at 67 Grande Paseo, San Rafael, CA 94903. The listed phone number is (415) 535-5554.

What is Robert Bostonian's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Robert Bostonian was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.