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NPI Code Detail

MEDICARE: DR. GEORGE ADATSI DHA

MEDICARE: DR. GEORGE ADATSI DHA
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95034620CA

General Provider Information

NPI Number : 1407745219
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE ADATSI DHA
Provider Business Mailing Address
First Line : 153 ARLEN DR
Second Line :
City : ROHNERT PARK
State : CA
Zip : 94928-8004
Country : US
Telephone Number : 517-505-5027
Fax Number :
Provider Business Practice Location Address
First Line : 5201 NORRIS CANYON RD
Second Line :
City : SAN RAMON
State : CA
Zip : 94583-5411
Country : US
Telephone Number : 206-823-1004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2025
Last Update Date : 06/23/2026

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