Avery Lane
NPI 1922552496 · Substance Use Disorder Rehabilitation Clinic/Center · Novato, CA
Avery Lane is a Substance Use Disorder Rehabilitation Clinic/Center organization in Novato, CA (NPI 1922552496).
Provider details
- NPI number
- 1922552496
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Camille Hildebrand, Ceo/Fonder(415) 686-6127
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
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 685 Atherton AveNovato, CA 94945-2617Phone: (415) 408-3480Fax: (415) 895-5297
- 687 Atherton AveNovato, CA 94945-2617Phone: (415) 408-3480Fax: (415) 895-5297
Registry dates
- Enumerated
- 2016-08-12
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Frequently asked questions
- What is Avery Lane's NPI number?
- Avery Lane's National Provider Identifier (NPI) is 1922552496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avery Lane?
- Avery Lane is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Avery Lane located?
- Avery Lane's practice location on file with NPPES is 505 San Marin Dr, Novato, CA 94945-1309.
- What is Avery Lane's phone number?
- The practice phone number listed in the NPPES registry for Avery Lane is (415) 686-6127.
- Who is the authorized official for Avery Lane?
- The authorized official listed on Avery Lane's NPPES record is Camille Hildebrand, Ceo/Fonder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avery Lane's NPI active?
- Yes — Avery Lane's NPI (1922552496) is active in the NPPES registry as of the last update on 2023-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.