Healthcare Provider Details

I. General information

NPI: 1851621494
Provider Name (Legal Business Name): MR. DARIN PAYNE HASSIG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2010
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

628 MONTEZUMA ST
RIO VISTA CA
94571-1622
US

IV. Provider business mailing address

628 MONTEZUMA ST
RIO VISTA CA
94571-1622
US

V. Phone/Fax

Practice location:
  • Phone: 707-374-5243
  • Fax:
Mailing address:
  • Phone: 707-374-5243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number128438
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: