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MR. PAUL M DERTIEN
NPI 1902016363
Counselor - Addiction (Substance Use Disorder) in San Francisco, CA

Active since May 23, 2007
995 POTRERO AVE, WARD 93, SAN FRANCISCO, CA 94110(415) 206-8412 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Paul M Dertien NPPES

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

MR. PAUL M DERTIEN (NPI 1902016363) is an individual addiction (substance use disorder) provider in San Francisco, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1902016363
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. PAUL M DERTIEN
Location Address995 POTRERO AVE, WARD 93San Francisco, CA 94110-2859
Mailing Address3769 Cesar Chavez Apt ASan Francisco, CA 94110-4316 · (415) 648-2661
Phone(415) 206-8412
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902016363 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
995 POTRERO AVE, San Francisco, CA 94110
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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.

LUCIA RAMOS MSW
Counselor (Mental Health)
995 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-5252
MISS JENNIFER QUILAQUIL SIRUNO RN
Registered Nurse (Psychiatric/Mental Health, Adult)
995 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-3364
CHRISTINE CHANG PECCI M.D.
Family Medicine
995 POTRERO AVE, WARD 83
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-2972
DR. SHERI DAWN WEISER M.D.
Internal Medicine
995 POTRERO AVE, BUILDING 80, 6TH FLOOD
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-2427
ELIZABETH ANN GATEWOOD FNP
Nurse Practitioner (Family)
995 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5252
DR. MICHAEL RAYMOND BURGESS M.D., PH.D.
Internal Medicine (Hematology & Oncology)
995 POTRERO AVE, BUILDING 80, WARD 86
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-2407
NATALIE BRADLEY
Marriage & Family Therapist
995 POTRERO AVE, BUILDING 90, 3RD FLOOR
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-8412
CAMEO CHANEL TAYLOR
Community Health Worker
995 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (268) 206-8412

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 Paul Dertien's NPI number?

The NPI number for Paul Dertien is 1902016363. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Paul Dertien located?

Paul Dertien practices at 995 Potrero Ave Ward 93, San Francisco, CA 94110. The listed phone number is (415) 206-8412.

What is Paul Dertien'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 Paul Dertien was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.