Search › California › 163WC0200X
Mavis Freeman
NPI 1518839398 · on the registry since 2025 · sole proprietor
Practice
- Address
- 3905 San Pablo Dam Rd
El Sobrante, CA 94803 - Phone
- (510) 390-5467
- Fax
- (510) 229-3022
- Organisation at this address
- Catalyst Cares Adult Day Program
Guardian Adult Health Centers Of CaliforniaInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Also registered as
- 163WA2000X
163WC0200X
163WC0400X
163WC1500X
163WC1600X
163WP0807X
163WP0808X
163WP0809X
163WW0000X
163WX1500X
171M00000X
251C00000X - Licence states on file
- CA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California