Gerrod Herndon, SUDRC #15464
NPI 1689368615 · Substance Use Disorder Rehabilitation Clinic/Center · San Rafael, CA
Gerrod Herndon, SUDRC #15464 is a Substance Use Disorder Rehabilitation Clinic/Center provider in San Rafael, CA (NPI 1689368615).
Provider details
- NPI number
- 1689368615
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Credential
- SUDRC #15464
- Sex
- Male
- Sole proprietor
- Yes
- License
- 15464 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-05
- Last updated
- 2023-06-05
- Certified
- 2023-06-04
Frequently asked questions
- What is Gerrod Herndon's NPI number?
- Gerrod Herndon's National Provider Identifier (NPI) is 1689368615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gerrod Herndon's specialty?
- Gerrod Herndon is listed in the NPPES registry with a primary specialty of Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Gerrod Herndon located?
- Gerrod Herndon's practice location on file with NPPES is 603 D St, San Rafael, CA 94901-3719.
- What is Gerrod Herndon's phone number?
- The practice phone number listed in the NPPES registry for Gerrod Herndon is (707) 331-5575.
- Is Gerrod Herndon's NPI active?
- Yes — Gerrod Herndon's NPI (1689368615) is active in the NPPES registry as of the last update on 2023-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.