Healthcare Provider Details

I. General information

NPI: 1124945001
Provider Name (Legal Business Name): ANTHONY MICHAEL RIMAC JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

850 S VAN NESS AVE
SAN FRANCISCO CA
94110-1911
US

IV. Provider business mailing address

PO BOX 421011
SAN FRANCISCO CA
94142-1011
US

V. Phone/Fax

Practice location:
  • Phone: 510-406-1619
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: