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DOMINIC SAVIO ORTIZ SUDRC 16296
NPI 1902672603
Counselor - Addiction (Substance Use Disorder) in San Rafael, CA

Active since December 04, 2023
13 PETER BEHR DR, SAN RAFAEL, CA 94903(415) 473-4161 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominic Savio Ortiz Sudrc 16296 NPPES

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

DOMINIC SAVIO ORTIZ SUDRC 16296 (NPI 1902672603) is an individual addiction (substance use disorder) provider in San Rafael, California, licensed in California (16296) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1902672603
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDOMINIC SAVIO ORTIZCredential: SUDRC 16296
Location Address13 PETER BEHR DRSan Rafael, CA 94903-5216
Mailing Address13 Peter Behr DrSan Rafael, CA 94903-5216 · (415) 473-4161
Phone(415) 473-4161
Sole ProprietorNo
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
✔ NPI 1902672603 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 · 16296
13 PETER BEHR DR, San Rafael, CA 94903
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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.

DANIELA ZUCCARELLO RN
Registered Nurse
13 PETER BEHR DR
SAN RAFAEL, CA 94903
Marin County (415) 473-6651
DENNIS VILLALOBOS SABINO
Counselor (Addiction (Substance Use Disorder))
13 PETER BEHR DR
SAN RAFAEL, CA 94903
Marin County (415) 499-6655
SUSAN LESHER RN
Registered Nurse
13 PETER BEHR DR
SAN RAFAEL, CA 94903
Marin County (415) 473-6651
COUNTY OF MARIN
Preventive Medicine (Public Health & General Preventive Medicine)
13 PETER BEHR DR
SAN RAFAEL, CA 94903
Marin County (415) 473-6651
EDWARD K WALL DDS
Dentist
13 PETER BEHR DR
SAN RAFAEL, CA 94903
Marin County (415) 473-6651
PHILIP TOW RN
Registered Nurse
13 PETER BEHR DR
SAN RAFAEL, CA 94903
Marin County (415) 473-6651
JULIET DELA CRUZ RN
Registered Nurse
13 PETER BEHR DR
SAN RAFAEL, CA 94903
Marin County (415) 473-6651
MARIA NOLASCO LVN
Licensed Vocational Nurse
13 PETER BEHR DR
SAN RAFAEL, CA 94903
Marin County (415) 473-6651

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 Dominic Ortiz's NPI number?

The NPI number for Dominic Ortiz is 1902672603. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Dominic Ortiz located?

Dominic Ortiz practices at 13 Peter Behr Dr, San Rafael, CA 94903. The listed phone number is (415) 473-4161.

What is Dominic Ortiz'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 Dominic Ortiz was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.