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MR. ERIC JOSEPH PETERS SR.
NPI 1912375254
Substance Abuse Rehabilitation Facility in Novato, CA

Active since September 03, 2015
629 WILSON AVE, NOVATO, CA 94947(415) 492-0818(415) 492-0834 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Eric Joseph Peters Sr. NPPES

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

MR. ERIC JOSEPH PETERS SR. (NPI 1912375254) is an individual substance abuse rehabilitation facility provider in Novato, California, licensed in California (P0809051024) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1912375254
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameMR. ERIC JOSEPH PETERS SR.
Location Address629 WILSON AVENovato, CA 94947-3823
Mailing Address301 Smith Ranch RoadSan Rafael, CA 94903 · (415) 492-0818 · Fax (415) 492-0834
Phone(415) 492-0818
Fax(415) 492-0834
Sole ProprietorYes
Enumeration DateSeptember 3, 2015
✔ NPI 1912375254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · P0809051024
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
629 WILSON AVE, Novato, CA 94947
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Other Identifiers 1

MedicaidN5526983CA

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 Eric Peters's NPI number?

The NPI number for Eric Peters is 1912375254. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Where is Eric Peters located?

Eric Peters practices at 629 Wilson Ave, Novato, CA 94947. The listed phone number is (415) 492-0818.

What is Eric Peters's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Eric Peters was last updated on September 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.