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GERROD HERNDON SUDRC #15464
NPI 1689368615
Clinic/Center - Rehabilitation, Substance Use Disorder in San Rafael, CA

Active since June 05, 2023
603 D ST, SAN RAFAEL, CA 94901(707) 331-5575 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Gerrod Herndon Sudrc #15464 NPPES

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

GERROD HERNDON SUDRC #15464 (NPI 1689368615) is an individual rehabilitation, substance use disorder provider in San Rafael, California, licensed in California (15464) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1689368615
Entity TypeIndividualMale
Primary Taxonomy261QR0405X
Provider Legal NameGERROD HERNDONCredential: SUDRC #15464
Location Address603 D STSan Rafael, CA 94901-3719
Mailing Address603 D StSan Rafael, CA 94901-3719 · (707) 331-5575
Phone(707) 331-5575
Sole ProprietorYes
Enumeration DateJune 5, 2023
NPPES CertifiedJune 4, 2023
✔ NPI 1689368615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in CA · 15464
603 D ST, San Rafael, CA 94901
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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.

MR. ORLANDO TERRELL WIGGINS SR. RADT
Counselor
603 D ST
SAN RAFAEL, CA 94901
Marin County (415) 492-4444
MR. JEREMY RAY KELSAY
Counselor (Addiction (Substance Use Disorder))
603 D ST
SAN RAFAEL, CA 94901
Marin County (415) 454-9444
MR. TOM CHARLES BROWNING CAS I
Counselor (Addiction (Substance Use Disorder))
603 D ST
SAN RAFAEL, CA 94901
Marin County (415) 454-9444
AARON JEREMY LOWERS AOD COUNSELOR
Counselor (Addiction (Substance Use Disorder))
603 D ST
SAN RAFAEL, CA 94901
Marin County (415) 454-9444
CENTER POINT
Substance Abuse Rehabilitation Facility
603 D ST
SAN RAFAEL, CA 94901
Marin County (415) 454-9444
MICHAEL LAWRENCE CHERVENY SUDRC
Counselor (Addiction (Substance Use Disorder))
603 D ST
SAN RAFAEL, CA 94901
Marin County (707) 331-5575
CENTER POINT, INC.
Substance Abuse Rehabilitation Facility
603 D ST
SAN RAFAEL, CA 94901
Marin County (415) 492-4444
DAMIAN ALFONSO EDWARDS CASE 1
Case Manager/Care Coordinator
603 D ST
SAN RAFAEL, CA 94901
Marin County (145) 454-4404

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 Gerrod Herndon's NPI number?

The NPI number for Gerrod Herndon is 1689368615. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Gerrod Herndon located?

Gerrod Herndon practices at 603 D St, San Rafael, CA 94901. The listed phone number is (707) 331-5575.

What is Gerrod Herndon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Gerrod Herndon was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.