NPIMap

Organization Active NPI

Clinica la Luna Y El Sol Medical Center, Inc

  • Primary Care Clinic/Center
  • Concord, CA
National Provider Identifier
1013292432
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G54090 Issued in CA
Legal business name
CLINICA LA LUNA Y EL SOL MEDICAL CENTER, INC
Practice address
2299 Bacon St
Suite 6
Concord, CA 94520-2050
Phone
(925) 691-1900
Fax
(925) 691-1909
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Debra Joy Turner, RN
Title
Ceo
Phone
(925) 691-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G54090 CA Primary

Addresses

Primary practice location

2299 Bacon St
Suite 6
Concord, CA 94520-2050

Mailing address

2299 Bacon St
Suite 6
Concord, CA 94520-2050
Phone (925) 691-1900

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1013292432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 BACON ST",
            "address_2": "SUITE 6",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202050",
            "telephone_number": "925-691-1900",
            "fax_number": "925-691-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 BACON ST",
            "address_2": "SUITE 6",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202050",
            "telephone_number": "925-691-1900",
            "fax_number": "925-691-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LA LUNA Y EL SOL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-691-1900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G54090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.