MEDICARE: ADELIA BUTLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle	47-1424025	CA
2	343900000X	Non-emergency Medical Transport (VAN)	47-1424025	CA

General Provider Information

NPI Number	:	1730581281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADELIA BUTLER

Provider Business Mailing Address
First Line	:	23 MAINE AVE STE 750
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94804-2133
Country	:	US
Telephone Number	:	510-804-0728
Fax Number	:	510-374-6294

Provider Business Practice Location Address
First Line	:	23 MAINE AVE STE 750
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94804-2133
Country	:	US
Telephone Number	:	510-804-0728
Fax Number	:	510-374-6294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2014
Last Update Date	:	04/12/2026

Similar Medicare Providers

1710461413 — SECOND CHANCES LLC
Practice Location Address:

23 MAINE AVE STE 750
RICHMOND, CA
94804-2133

Practice Phone: 510-685-7813
Practice Fax: 510-374-6294

1548880024 — KINETIC STUDIO, LLC
Practice Location Address:

305 RICHMOND AVE
SOUTH ORANGE, NJ
07079-2133

Practice Phone: 518-598-3737
Practice Fax:

1104670553 — CARRIE DIERINGER TAFFEL
Practice Location Address:

200 24TH ST
RICHMOND, CA
94804-1804

Practice Phone: 510-412-9200
Practice Fax:

1902748387 — BAMBINI DOULAS LLC
Practice Location Address:

6211 PANAMA AVE APT A
RICHMOND, CA
94804-5722

Practice Phone: 510-299-8512
Practice Fax:

1003758178 — CID ANTONIO LEANOS
Practice Location Address:

224 S 3RD ST
RICHMOND, CA
94804-2120

Practice Phone: 510-426-2673
Practice Fax: 510-426-2673

1578559480 — SHIELDS NURSING CENTERS INC
Practice Location Address:

1919 CUTTING BLVD
RICHMOND, CA
94804-2662

Practice Phone: 510-233-8513
Practice Fax: 510-233-8960

Directions to “ ADELIA BUTLER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.