Provider Demographics
NPI:1013488618
Name:HOFFMANN, MICHAEL GERARD (BSW, CADC-III, ICADC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:GERARD
Last Name:HOFFMANN
Suffix:
Gender:M
Credentials:BSW, CADC-III, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11228 FAIR OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-5139
Mailing Address - Country:US
Mailing Address - Phone:916-962-2800
Mailing Address - Fax:
Practice Address - Street 1:11228 FAIR OAKS BLVD
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-5139
Practice Address - Country:US
Practice Address - Phone:916-962-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-08
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB001230819101Y00000X, 171M00000X, 172V00000X, 225400000X, 101YA0400X
CACI21340119101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health Worker
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1356605505OtherTURNING POINT COMMUNITY PROGRAMS