Organization Active NPI

Generations of Grace

  • Peer Specialist
  • Concord, CA
National Provider Identifier
1023831344
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
GENERATIONS OF GRACE
Practice address
1800 Sutter St Ste 500
Concord, CA 94520-2587
Phone
(310) 595-0248
NPI assigned
Nov 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Mrs. Nicole Ashley Bronson
Title
Founder / Peer Support Specialist
Phone
(310) 595-0248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

1800 Sutter St Ste 500
Concord, CA 94520-2587

Mailing address

2070 N Broadway Unit 5415
Walnut Creek, CA 94596-2057
Phone (310) 595-0248

National Provider Directory

National Provider Directory

Locations

2070 N Broadway
Unit 5415
Walnut Creek, CA 94596

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1023831344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 N BROADWAY UNIT 5415",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945962057",
            "telephone_number": "310-595-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SUTTER ST STE 500",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202587",
            "telephone_number": "310-595-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS OF GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "BRONSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "FOUNDER / PEER SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "310-595-0248",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "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 Nov 5, 2024; 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.