LA TANYA GARY (NPI# 1457803041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457803041 |
| Entity Type | Individual |
| Full Name | LA TANYA GARY |
| Practice Address |
2931 Prospect Ave Concord CA 94518-1025 |
| Practice Telephone | 9256764840 |
| Practice Fax Number | 9256761315 |
| Mailing Telephone | 9256764840 |
| Mailing Fax Number | 9256761315 |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2016-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 070001BN | CA | Residential Treatment Facilities |
| Street Address |
2931 PROSPECT AVE |
| City | CONCORD |
| State | CA |
| Zip Code | 94518-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861697047 | Roberta Ann White | Counselor | 2931 Prospect Ave, Concord, CA 94518-1025 | 2007-06-18 |
| 1447768254 | Kima Kristi Nelson | Counselor | 2931 Prospect Ave, Concord, CA 94518-1025 | 2018-01-15 |
| 1417486283 | Susanne Michelle Reynolds | Student in an Organized Health Care Education/Training Program | 2931 Prospect Ave, Concord, CA 94518-1025 | 2017-06-06 |
| 1760939482 | Lisa Niemi | Substance Abuse Rehabilitation Facility | 2931 Prospect Ave, Concord, CA 94518-1025 | 2016-09-11 |
| 1730547233 | Terry Atkins | Specialist | 2931 Prospect Ave, Concord, CA 94518-1025 | 2016-01-29 |
| 1437586831 | Adrianna Elizabeth Lewis | Student in an Organized Health Care Education/Training Program | 2931 Prospect Ave, Concord, CA 94518-1025 | 2013-09-30 |
| 1528495926 | Michelle Joy | Student in an Organized Health Care Education/Training Program | 2931 Prospect Ave, Concord, CA 94518-1025 | 2013-09-30 |
| 1821325077 | Alex Morrison | Nurse's Aide | 2931 Prospect Ave, Concord, CA 94518-1025 | 2009-11-09 |
| 1881836302 | Lisa Michelle Johnston | Counselor | 2931 Prospect Ave, Concord, CA 94518-1025 | 2009-03-30 |
| 1669677845 | Susan M Butler | Counselor | 2931 Prospect Ave, Concord, CA 94518-1025 | 2007-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053736744 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2355 Whitman Rd Ste F, Concord, CA 94518 | 2014-03-04 |
| 1548514888 | Sarah Adler-mcdonald | Nurse Practitioner | 2000 Sierra Rd., Concord, CA 94518 | 2012-11-08 |
| 1750640413 | Advanced Multi Specialty Medical Group | Chiropractor | 4180 Treat Blvd Ste A1, Concord, CA 94518 | 2012-05-15 |
| 1033441928 | Leah Marie Proper | Speech-Language Pathologist | 1050 San Miguel Rd., Concord, CA 94518 | 2010-02-03 |
| 1467689901 | Matthew David Karp | Counselor | 1034 Oak Grove, Concord, CA 94518 | 2009-06-11 |
| 1982856738 | Barbara M Smith | Counselor | 909 Estrella Court, Concord, CA 94518 | 2008-10-10 |
| 1003005521 | Christina Lindemuth | Counselor | 1034 Oak Grove Rd., Concord, CA 94518 | 2007-10-22 |
| 1285836783 | Suzanne Helen Powell | Family Medicine | 2000 Sierra Rd, Concord, CA 94518 | 2007-06-05 |
| 1427183938 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 3737 Barrington Dr, Concord, CA 94518 | 2007-02-23 |
| 1033244108 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 1200 St Elizabeth Ct, Concord, CA 94518 | 2007-02-22 |
| Find all providers in zip 94518 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700404464 | Aware Recovery Care of Massachusetts, LLC | Substance Abuse Rehabilitation Facility | 9 Damonmill Sq Ste 105, Concord, MA 01742-2858 | 2020-07-09 |
| 1912556903 | New Start Recovery Solutions | Substance Abuse Rehabilitation Facility | 2449 Pacheco St Ste A, Concord, CA 94520-2019 | 2019-09-11 |
| 1417496068 | Frederic Ozanam Center -emerald City | Substance Abuse Rehabilitation Facility | 2950 Prospect Ave, Concord, CA 94518-1025 | 2017-02-15 |
| 1538607460 | Frederic Ozanam Center-rainbow Village | Substance Abuse Rehabilitation Facility | 2901 Prospect Ave, Concord, CA 94518-1024 | 2017-02-11 |
| 1083152912 | Bi-bett | Substance Abuse Rehabilitation Facility | 1390 Santa Clara Ave, Concord, CA 94518-1031 | 2017-02-11 |
| 1073634408 | The Serenity House, Inc. | Substance Abuse Rehabilitation Facility | 172 Spring St Sw, Concord, NC 28025-5035 | 2007-04-03 |
| 1437213592 | Recovery Management Services, Inc. | Substance Abuse Rehabilitation Facility | 2449 Pacheco St, Concord, CA 94520-2019 | 2006-12-21 |
| 1265453195 | Sunrise House, Inc. | Substance Abuse Rehabilitation Facility | 135 Mason Cir Ste M, Concord, CA 94520-1258 | 2006-07-23 |
| 1528608023 | Landmark Recovery of Concord LLC | Substance Abuse Rehabilitation Facility | 785 Main St, Concord, MA 01742-3310 | 2020-01-13 |
| 1750949533 | Center Point, Inc. | Substance Abuse Rehabilitation Facility | 1470 Civic Ct, Concord, CA 94520-5290 | 2019-06-05 |
| Find all providers in CONCORD | ||||
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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.