OrganizationActive
Avery Lane
NPI 1922552496 · Substance Use Disorder Rehabilitation Clinic/Center · Novato, CA
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
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
505 San Marin Dr
Suite 300
Novato, CA 94945-1309
Phone: (415) 686-6127
Street-level locationGet directions
Mailing address
505 San Marin Dr Ste A300
Novato, CA 94945-1351
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.