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JOSE MATTHEW GAVILANES RADT
NPI 1699240689
Counselor - Addiction (Substance Use Disorder) in Santa Ana, CA

Active since October 05, 2018
1207 E FRUIT ST, SANTA ANA, CA 92701(714) 953-9373 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2023, Oct 27, 2020, Oct 5, 2018 (3 updates tracked since 2018).

About Jose Matthew Gavilanes Radt NPPES

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

JOSE MATTHEW GAVILANES RADT (NPI 1699240689) is an individual addiction (substance use disorder) provider in Santa Ana, California, licensed in California (RH0010001222) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1699240689
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOSE MATTHEW GAVILANESCredential: RADT
Location Address1207 E FRUIT STSanta Ana, CA 92701-4206
Mailing Address1207 E Fruit StSanta Ana, CA 92701-4206
Phone(714) 953-9373
Sole ProprietorYes
Enumeration DateOctober 5, 2018
Last NPPES UpdateJanuary 6, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
✔ NPI 1699240689 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 · RH0010001222
1207 E FRUIT ST, Santa Ana, CA 92701
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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.

MARGARITA MOREIRA
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
GARY DAIJI HAZAMA
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
MADISON PARR
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (949) 396-4566
NOAH WANGAI
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
ANH QUE HUYNH
Licensed Vocational Nurse
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
CRYSTAL SCHONVIESNER
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
SIERA NOELLE GOODRICH
Student in an Organized Health Care Education/Training Program
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
AIDE MERITO-PINA,
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373

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 Jose Gavilanes's NPI number?

The NPI number for Jose Gavilanes is 1699240689. It was assigned to this individual provider in the NPPES registry on October 5, 2018.

Where is Jose Gavilanes located?

Jose Gavilanes practices at 1207 E Fruit St, Santa Ana, CA 92701. The listed phone number is (714) 953-9373.

What is Jose Gavilanes'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 Jose Gavilanes was last updated on January 6, 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.