Active NPI
Denise Coleman
- Day Training/Habilitation Specialist
- Pleasanton, CA
National Provider Identifier
1104488592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 5669 Gibraltar Dr
Pleasanton, CA 94588-8547 - Phone
- (925) 560-5903
- NPI assigned
- Jul 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | CA | Primary | |
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
5669 Gibraltar Dr
Pleasanton, CA 94588-8547
Mailing address
5325 Broder Blvd
Dublin, CA 94568-3309
Phone (510) 775-5117
Other practice location 1
261 E Alaska Ave Apt 90
Fairfield, CA 94533-7431
Phone (707) 716-8529
Other practice location 2
1119 E Monte Vista Ave
Vacaville, CA 95688-3009
Phone (707) 469-4610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1104488592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 BRODER BLVD",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683309",
"telephone_number": "510-775-5117",
"fax_number": "925-551-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5669 GIBRALTAR DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888547",
"telephone_number": "925-560-5903"
}
],
"practiceLocations": [
{
"address_1": "261 E Alaska Ave Apt 90",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945337431",
"country_code": "US",
"telephone_number": "707-716-8529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1119 E Monte Vista Ave",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956883009",
"country_code": "US",
"telephone_number": "707-469-4610",
"fax_number": "707-448-1119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-05",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.