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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KEANDRE RAHEEM WEATHERSBY
NPI 1538066469
Counselor - Addiction (Substance Use Disorder) in San Leandro, CA

Active since October 23, 2026
2035 FAIRMOUNT DR, SAN LEANDRO, CA 94578(510) 346-7836 Get Directions Write a Review

NPPES record added: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keandre Raheem Weathersby NPPES

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

KEANDRE RAHEEM WEATHERSBY (NPI 1538066469) is an individual addiction (substance use disorder) provider in San Leandro, California, licensed in California (26970) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1538066469
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEANDRE RAHEEM WEATHERSBY
Location Address2035 FAIRMOUNT DRSan Leandro, CA 94578
Mailing Address800 Loon StLathrop, CA 95330-8046 · (925) 350-9054
Phone(510) 346-7836
Sole ProprietorNo
Enumeration DateOctober 23, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1538066469 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 · 26970
2035 FAIRMOUNT DR, San Leandro, CA 94578
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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 Keandre Weathersby's NPI number?

The NPI number for Keandre Weathersby is 1538066469. It was assigned to this individual provider in the NPPES registry on October 23, 2026.

Where is Keandre Weathersby located?

Keandre Weathersby practices at 2035 Fairmount Dr, San Leandro, CA 94578. The listed phone number is (510) 346-7836.

What is Keandre Weathersby'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 Keandre Weathersby was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.