GOLDEN GATE RECOVERY LLC
NPI 1881289809
Clinic/Center - Rehabilitation, Substance Use Disorder in Novato, CA

Active since March 02, 2021CLIA 05D2287149 · Waiver
505 SAN MARIN DR STE 240B, NOVATO, CA 94945(650) 773-1775 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 12, 2022, Mar 2, 2021 (2 updates tracked since 2021).

About Golden Gate Recovery Llc NPPES

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

GOLDEN GATE RECOVERY LLC (NPI 1881289809) is a healthcare organization registered as a rehabilitation, substance use disorder in Novato, California and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Wesley Heim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881289809
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameGOLDEN GATE RECOVERY LLC
Location Address505 SAN MARIN DR STE 240BNovato, CA 94945-1309
Mailing Address505 San Marin Dr Ste 240bNovato, CA 94945-1309 · (858) 342-9151
Organization SubpartNo
Authorized OfficialWesley HeimCeo · (858) 342-9151
Enumeration DateMarch 2, 2021
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
NPI 1881289809 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
505 SAN MARIN DR STE 240B, Novato, CA 94945

Other Identifiers 1

Other210052APCA · Dhcs

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2287149

Golden Gate Recovery · Novato, CA
Active · expires Aug 8, 2027
CLIA Number05D2287149
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorAraz Tawfique
Laboratory Phone(858) 342-9151
Laboratory LocationGolden Gate Recovery505 San Marin Drive Suite 240B, Novato, CA 94945
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
505 SAN MARIN DR STE 240B
NOVATO, CA 94945

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 Golden Gate Recovery LLC's NPI number?

The NPI number for Golden Gate Recovery LLC is 1881289809. It was assigned to this organization in the NPPES registry on March 2, 2021.

Where is Golden Gate Recovery LLC located?

Golden Gate Recovery LLC is located at 505 San Marin Dr Ste 240B, Novato, CA 94945. The listed phone number is (650) 773-1775.

What is Golden Gate Recovery LLC's specialty?

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

Does Golden Gate Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2287149) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Golden Gate Recovery LLC was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.