NPIMap

Organization Active NPI

Contra Costa County

  • Prison Health Clinic/Center
  • Clayton, CA
National Provider Identifier
1053290551
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
CONTRA COSTA COUNTY
Practice address
12000 Marsh Creek Rd
Clayton, CA 94517-9760
Phone
(925) 646-5700
NPI assigned
Aug 28, 2025
Organization subpart
Yes
Parent organization
CONTRA COSTA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
David D. Lee, MBA, FHFMA
Title
Deputy Cfo
Phone
(925) 957-5445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

12000 Marsh Creek Rd
Clayton, CA 94517-9760

Mailing address

50 Douglas Dr Ste 310
Martinez, CA 94553-4003
Phone (925) 957-5429

Other names 1

  • Marsh Creek Detention Facility Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Contra Costa Cnty Path99 organizations share this tax ID, including this one
Part of
Contra Costa Cnty Path

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1053290551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DOUGLAS DR STE 310",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534003",
            "telephone_number": "925-957-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MARSH CREEK RD",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945179760",
            "telephone_number": "925-646-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONTRA COSTA COUNTY",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DEPUTY CFO",
        "authorized_official_telephone_number": "925-957-5445",
        "authorized_official_credential": "MBA, FHFMA"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marsh Creek Detention Facility Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.