CONTRA COSTA COUNTY (NPI# 1821168618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821168618 |
| Entity Type | Organization |
| Organization Name | CONTRA COSTA COUNTY |
| Other Organization Name | DISCOVERY HOUSE |
| Practice Address |
4645 Pacheco Blvd Martinez CA 94553-3625 |
| Mailing Address |
50 Douglas Dr Suite 391 Martinez CA 94553-4098 |
| Practice Telephone | 9259575429 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICK M. GODLEY (COO CFO) |
| Authorized Official Telephone | 9259575405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SUBSTANCE ABUSE | 070750 | 01 |
| Other Name | Type Code |
|---|---|
| Discovery House | 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 |
4645 PACHECO BLVD |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768132 | Quincy Eileen Slatten | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2020-07-28 |
| 1336766799 | Leslie James Thurston | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2020-07-01 |
| 1144737362 | Michael B Connolly | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2018-01-09 |
| 1215488234 | Harrison Stewart | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2016-10-14 |
| 1023562535 | Neal Troiano | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2016-08-12 |
| 1578923223 | Toni Legree | Substance Abuse Rehabilitation Facility | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2016-02-23 |
| 1487036364 | Daniel S Petersen | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2015-06-26 |
| 1487076139 | Raul Roy Stephens Jr. | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2014-01-15 |
| 1982807665 | Dominique Suzanne Crawford | Substance Abuse Rehabilitation Facility | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2007-06-08 |
| 1467666594 | Discovery House | Substance Abuse Rehabilitation Facility | 4645 Pacheco Blvd, Martinez, CA 94553 | 2007-05-09 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912077702 | Contra Costa County | Clinic/Center | 425 C St, Martinez, CA 94553-3103 | 2006-11-08 |
| 1174139133 | D. W. De Vose & Associates, LLC | Clinic/Center | 4210 Columbia Rd Ste 11b, Martinez, GA 30907-0443 | 2020-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476845 | Vanity Wellness Center Incorporated | Clinic/Center | 19935 Ventura Blvd Fl 1, Woodland Hills, CA 91364-9605 | 2020-10-27 |
| 1184230328 | Recovery & Resilience Centers | Clinic/Center | 1665 Creekside Dr Ste 100, Folsom, CA 95630-3538 | 2020-09-22 |
| 1518573526 | A Ka Center, LLC | Clinic/Center | 4715 Divine Way, La Mesa, CA 91941-6832 | 2020-09-16 |
| 1821602186 | New Bridge Foundation, Inc. | Clinic/Center | 1777 Leroy Avenue, Berkeley, CA 94709-1156 | 2020-09-03 |
| 1942814793 | Ola Wellness Retreat, LLC | Clinic/Center | 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 | 2020-08-31 |
| 1336752963 | Ola Wellness Retreat, LLC | Clinic/Center | 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 | 2020-08-24 |
| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
| 1255941597 | Pathways Recovery | Clinic/Center | 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 | 2020-08-02 |
| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
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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.