Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Commodore William

Individual provider Community Health Worker · NPI 1205274891

Mr. Commodore William is a Community Health Worker in San Carlos, California. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2

Practice location Address checks out

1692 El Camino Real
San Carlos, CA 94070-5208
Phone: (508) 179-0706
Fax: (650) 817-9074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1205274891
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2013
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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