CONTRA COSTA COUNTY (NPI# 1083041396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083041396 |
| Entity Type | Organization |
| Organization Name | CONTRA COSTA COUNTY |
| Other Organization Name | TB DOT PROGRAM |
| Practice Address |
597 Center Ave Suite 200 A Martinez CA 94553-4640 |
| Mailing Address |
50 Douglas Dr Suite 320 B Martinez CA 94553-4098 |
| Practice Telephone | 9259575489 |
| Mailing Telephone | 9259545489 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |
| Authorized Official Name | MR. PATRICK M. GODLEY (COO AND CFO) |
| Authorized Official Telephone | 9259575405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TB Dot Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062745 | Contra Costa County | Clinic/Center | 1160 Brickyard Cove Rd Ste 111, Point Richmond, CA 94801-4112 | 2019-06-14 |
| 1558829820 | Contra Costa County | Clinic/Center | 395 Taylor Blvd Ste 200, Pleasant Hill, CA 94523-2290 | 2019-03-06 |
| 1093229882 | Contra Costa County | Lodging | 845b Brookside Dr, Richmond, CA 94801-1310 | 2017-12-01 |
| 1467966259 | Contra Costa County | Lodging | 847 Brookside Dr Ste C, Richmond, CA 94801-1314 | 2017-12-01 |
| 1659885440 | Contra Costa County | Respite Care | 2047d Arnold Industrial Way, Concord, CA 94520-5342 | 2017-12-01 |
| 1295249399 | Contra Costa County | Counselor | 2047c Arnold Industrial Way, Concord, CA 94520-5342 | 2017-11-28 |
| 1447602693 | Contra Costa County | Early Intervention Provider Agency | 4427 Horseshoe Cir, Antioch, CA 94531-8136 | 2016-07-11 |
| 1316339609 | Contra Costa County | Ambulance | 2010 Geary Rd, Pleasant Hill, CA 94523-4619 | 2015-02-24 |
| 1205152782 | Contra Costa County | Clinic/Center | 2425 Bisso Lane, Suite 100, Concord, CA 94520-4817 | 2010-04-09 |
| 1336214642 | Contra Costa County | Clinic/Center | 1860 Silverwood Dr, Concord, CA 94519-1351 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONTRA COSTA COUNTY OF HEALTH SERVICES HAZARDO | 4585 Pacheco Blvd, Martinez, CA 94553-2226 |
| System for Award Management (SAM) Entities | CONTRA COSTA COUNTY OFFICE OF EDUCATION | 77 Santa Barbara Rd, Pleasant Hill, CA 94523-4215 |
| Street Address |
597 CENTER AVE SUITE 200 A |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477537686 | Susan Atkins | Registered Nurse | 597 Center Ave, Martinez, CA 94553-4640 | 2005-12-01 |
| 1073036364 | Yin Ya Liu | Registered Nurse | 597 Center Ave, Martinez, CA 94553 | 2017-07-19 |
| 1376079418 | Elizabeth Peters | Registered Nurse | 597 Center Ave, Martinez, CA 94553-4640 | 2017-05-11 |
| 1073961090 | Lynette Haynes | Registered Nurse | 597 Center Ave, Martinez, CA 94553-4640 | 2016-05-31 |
| 1356711352 | Anthionette Kamara | Registered Nurse | 597 Center Ave, Martinez, CA 94553-4640 | 2015-10-02 |
| 1053790261 | Colleen Hoehn | Registered Nurse | 597 Center Ave, Suite 200, Martinez, CA 94553-4640 | 2015-05-20 |
| 1942607643 | Candice Brown-bryant | Registered Nurse | 597 Center Ave, Suite 200-a, Martinez, CA 94553-4640 | 2014-11-24 |
| 1437555885 | Kevin L Doherty | Registered Nurse | 597 Center Ave, Suite 200a, Martinez, CA 94553-4640 | 2014-11-12 |
| 1013347970 | Jeanne Cunningham | Registered Nurse | 597 Center Ave, Martinez, CA 94553-4640 | 2013-11-13 |
| 1063756559 | Kate Schwertscharf | Registered Nurse | 597 Center Ave, Suite 150, Martinez, CA 94553-4640 | 2012-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871825505 | Contra Costa County Public Health | Clinic/Center | 597 Center Ave, Suite 200-a, Martinez, CA 94553-4640 | 2010-02-05 |
| 1922281294 | Contra Costa County | Clinic/Center | 597 Center Ave, Suite 150, Martinez, CA 94553-4640 | 2007-12-10 |
| 1063586899 | Contra Costa County | Clinic/Center | 597 Center Ave, Suite 200 A, Martinez, CA 94553-4640 | 2006-11-20 |
| 1528139391 | Contra Costa County | Clinic/Center | 597 Center Ave, Suite 200, Martinez, CA 94553-4640 | 2006-11-13 |
| 1235217423 | Contra Costa County | Clinic/Center | 597 Center Ave, Suite 280, Martinez, CA 94553-4640 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548799042 | County of Ventura | Clinic/Center | 2500 S C St # B1, Oxnard, CA 93033-4560 | 2017-06-08 |
| 1821527326 | County of Ventura | Clinic/Center | 2240 E Gonzales Rd Ste 140, Oxnard, CA 93036-8212 | 2017-06-08 |
| 1134658644 | County of Ventura | Clinic/Center | 2240 E Gonzales Rd Ste 210, Oxnard, CA 93036-8216 | 2017-06-08 |
| 1598212045 | Truc Doan | Clinic/Center | 1000 W. Carson, Torrance, CA 90502 | 2016-09-01 |
| 1861765877 | County of Los Angeles | Clinic/Center | 522 S. San Pedro Street, Los Angeles, CA 90013-2102 | 2012-02-22 |
| 1356588925 | Optimum Health Care Centet | Clinic/Center | 4244 Mustic Way, Mather, CA 95655-3032 | 2009-01-19 |
| 1740431436 | County of Orange | Clinic/Center | 1725 W 17th St Ste 101f, Santa Ana, CA 92706-2316 | 2008-10-01 |
| 1457501280 | County of Merced | Clinic/Center | 415 F St, Los Banos, CA 93635-3612 | 2008-09-29 |
| 1275795692 | El Dorado County Health Department | Clinic/Center | 931 Spring Street, Placerville, CA 95667 | 2008-06-26 |
| 1447444294 | County of Los Angeles | Clinic/Center | 241 N Figueroa St, Los Angeles, CA 90012-2601 | 2007-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.