Provider Demographics
NPI:1760174619
Name:GACAYAN, ROLANDO
Entity Type:Individual
Prefix:MR
First Name:ROLANDO
Middle Name:
Last Name:GACAYAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 BRIARFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-2712
Mailing Address - Country:US
Mailing Address - Phone:415-481-5998
Mailing Address - Fax:
Practice Address - Street 1:401 BRIARFIELD WAY
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-2712
Practice Address - Country:US
Practice Address - Phone:415-481-5998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)