MEDICARE: FELTON INSTITUTE

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1417222084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FELTON INSTITUTE

Provider Business Mailing Address
First Line	:	1005 ATLANTIC AVE
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-1148
Country	:	US
Telephone Number	:	415-474-7310
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 S EL CAMINO REAL
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94402-3098
Country	:	US
Telephone Number	:	650-458-0026
Fax Number	:	650-458-0027

Authorized Official
Title or Position	:	CHIEF FINANCIAL&OPERATIONS OFFICER
Name	:	MARVIN DAVIS
Credential	:
Telephone Number	:	415-474-7310

Provider Enumeration Date	:	03/15/2012
Last Update Date	:	04/09/2026

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Directions to “FELTON INSTITUTE ” Practice Location

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