1. Home
  2. Directory
  3. California
  4. Fremont
  5. Counselor
  6. NPI Profile

MR. RAYMOND EDWARD DOUGLAS SUDCC III
NPI 1407317704
Counselor - Addiction (Substance Use Disorder) in Fremont, CA

Active since March 28, 2019
37437 GLENMOOR DR, FREMONT, CA 94536(510) 713-3200(510) 713-0684 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2026, Sep 30, 2024, Sep 8, 2022 (3 updates tracked since 2022).

About Mr. Raymond Edward Douglas Sudcc Iii NPPES

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

MR. RAYMOND EDWARD DOUGLAS SUDCC III (NPI 1407317704) is an individual addiction (substance use disorder) provider in Fremont, California, licensed in California (19319) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1407317704
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RAYMOND EDWARD DOUGLASCredential: SUDCC III
Location Address37437 GLENMOOR DRFremont, CA 94536-5731
Mailing Address4510 Peralta Blvd Ste 1Fremont, CA 94536-5755 · (510) 713-3202 · Fax (510) 713-0684
Phone(510) 713-3200
Fax(510) 713-0684
Sole ProprietorNo
Enumeration DateMarch 28, 2019
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1407317704 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
Licenses✔ Licensed in CA · 19319✔ Licensed in CA · R1326931018✔ Licensed in CA · A058430920
37437 GLENMOOR DR, Fremont, CA 94536
Open in Google Maps ↗

Other Identifiers 1

OtherA058430920CA · Ccapp

Other Providers at the Same Location NPPES 19

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

MR. MATTHEW VIERRA SUDRC
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3202
GERALD BEAT
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200
MR. CERJIO ACEVES SUDRC
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200
MR. JAMES PATRICK BURGOS
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200
MANESSA BOYKO
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200
MR. LONNIE BREWER RADT
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200
MR. JACK SCOTT RADT
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200
MS. KELCEE WEAVER CADC-II
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
Alameda County (510) 713-3200

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 Raymond Douglas's NPI number?

The NPI number for Raymond Douglas is 1407317704. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Raymond Douglas located?

Raymond Douglas practices at 37437 Glenmoor Dr, Fremont, CA 94536. The listed phone number is (510) 713-3200.

What is Raymond Douglas'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 Raymond Douglas was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.