LINCOLN (NPI# 1700367166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700367166 |
| Entity Type | Organization |
| Organization Name | LINCOLN |
| Other Organization Name | HOPE CC CARMEN DRAGON ELEMENTARY |
| Practice Address |
4721 Vista Grande Dr Antioch CA 94531-8619 |
| Mailing Address |
1266 14th St Oakland CA 94607-2205 |
| Practice Telephone | 9257797475 |
| Practice Fax Number | 9257797476 |
| Mailing Telephone | 5102734700 |
| Mailing Fax Number | 5105308083 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | CATALINA MONROY-ABURTO (QA SUPERVISOR) |
| Authorized Official Telephone | 5102734700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| HOPE CC Carmen Dragon Elementary | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824046 | Lincoln | Community/Behavioral Health | 1708 F St, Antioch, CA 94509-2225 | 2019-07-25 |
| 1962983262 | Lincoln | Community/Behavioral Health | 2304 G St, Antioch, CA 94509-3500 | 2018-08-24 |
| 1518448810 | Lincoln | Community/Behavioral Health | 615 Greystone Dr, Antioch, CA 94509-6990 | 2018-08-24 |
| 1609357904 | Lincoln | Community/Behavioral Health | 1931 Mokelumne Dr, Antioch, CA 94531-9129 | 2018-08-24 |
| 1053892356 | Lincoln | Community/Behavioral Health | 2801 Roosevelt Ln, Antioch, CA 94509-5038 | 2018-08-24 |
| 1700394046 | Lincoln | Community/Behavioral Health | 40 Seeno St, Pittsburg, CA 94565-5855 | 2018-01-22 |
| 1699283929 | Lincoln | Community/Behavioral Health | 2012 Carion Ct, Pittsburg, CA 94565-4021 | 2018-01-22 |
| 1508374836 | Lincoln | Community/Behavioral Health | 1880 Hanlon Way, Pittsburg, CA 94565-3579 | 2018-01-22 |
| 1437667771 | Lincoln | Community/Behavioral Health | 2929 Loveridge Rd, Pittsburg, CA 94565-5132 | 2018-01-22 |
| 1053827030 | Lincoln | Community/Behavioral Health | 985 W 17th St, Pittsburg, CA 94565-3716 | 2017-12-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LINCOLN | 1266 14th St, Oakland, CA 94607-2205 |
| Colorado Business Entities | Lincoln & Associates LLC | Po Box 12301, Palm Desert, CA 92255 |
| New York State Corporations | LINCOLN & CADDY CORNER CAR REPAIRS, LTD. | 133 Cutter Mill Road, Great Neck, Ny 11021 |
| Colorado Business Entities | LINCOLN & DAKOTA, INC. | 195 Indian Peaks Drive, Erie, CO 80516 |
| New York State Corporations | LINCOLN & FIFTH AVE. REALTY INC. | Cesar A Guzman, 17 W Lincoln Ave, Mount Vernon, Ny 10550 |
| Colorado Business Entities | Lincoln & Grant, Inc. | 5281 S. Quebec Street, Greenwood Village, CO 80111 |
| Iowa Business Entities | LINCOLN & LINCOLN FARMS, LLC | 60922 180th St, Pacific Junction, IA 51561 |
| Washington State Corporations | LINCOLN & LINDSEY LLC | 6905 Woodbine Dr., Arlington, WA 98223 |
| New York State Corporations | LINCOLN & RAVI PIPING & HEATING CORP. | 125-05 Liberty Avenue, Richmond Hill, New York 11419 |
| New York State Corporations | LINCOLN & ROSS INC. | 113 Snyders Lake Road, Wynantskill, New York 12198 |
| Street Address |
4721 VISTA GRANDE DR |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94531-8619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1093369720 | Lorena N/a Lepezmagana I | Behavior Technician | 4856 Weler Peak Way, 4856 Wexler Peak Way, Antioch, CA 94531 | 2019-07-31 |
| 1063976538 | Donna C Martinez | Respiratory Therapist, Registered | 4509 Sand Creek Rd, Antioch, CA 94531 | 2019-01-29 |
| 1215428107 | Sierra Singharath | Behavioral Analyst | 5344 Catanzaro Way, Antioch, CA 94531 | 2018-05-25 |
| 1972005551 | Meily Samantha Reyna | Behavioral Analyst | 1858 Mount Goethe Way, Antioch, CA 94531 | 2018-02-28 |
| 1225536477 | Constance Eileen Matous | Physical Therapy Assistant | 4041 Lone Tree Way Suite # 106, Antioch, CA 94531 | 2018-01-23 |
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1467831222 | Jaylan Ishac | Behavioral Analyst | 4749 Crestone Peak Ct, Antioch, CA 94531 | 2015-05-27 |
| 1164831830 | Akape Home Care Agency | Home Health | 2487 Stanford Way, Ste 1a, Antioch, CA 94531 | 2014-08-07 |
| 1679992515 | Joseph Vojtko | Ophthalmology | 4501 Sand Creek Rd Dept Of, Antioch, CA 94531 | 2014-04-08 |
| Find all providers in zip 94531 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824046 | Lincoln | Community/Behavioral Health | 1708 F St, Antioch, CA 94509-2225 | 2019-07-25 |
| 1326503079 | Pcs Mental Health LLC | Community/Behavioral Health | 2031 Antioch Pike Ste 101, Antioch, TN 37013-3315 | 2019-02-07 |
| 1356810188 | Medical One, LLC | Community/Behavioral Health | 2213 Buchanan Rd Ste 202, Antioch, CA 94509-4265 | 2018-11-22 |
| 1962983262 | Lincoln | Community/Behavioral Health | 2304 G St, Antioch, CA 94509-3500 | 2018-08-24 |
| 1518448810 | Lincoln | Community/Behavioral Health | 615 Greystone Dr, Antioch, CA 94509-6990 | 2018-08-24 |
| 1609357904 | Lincoln | Community/Behavioral Health | 1931 Mokelumne Dr, Antioch, CA 94531-9129 | 2018-08-24 |
| 1053892356 | Lincoln | Community/Behavioral Health | 2801 Roosevelt Ln, Antioch, CA 94509-5038 | 2018-08-24 |
| 1407272941 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 512 E St Unit B, Antioch, CA 94509 | 2014-03-07 |
| 1578848560 | La Cheim School Inc. | Community/Behavioral Health | 1413 F Street, Antioch, CA 94509-2220 | 2011-10-21 |
| 1689958290 | Child Therapy Institute | Community/Behavioral Health | 3720 Sunset Ln Ste D, Antioch, CA 94509-6124 | 2011-09-30 |
| Find all providers in ANTIOCH | ||||
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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.