Individual provider Active NPI

Denise Coleman

  • Day Training/Habilitation Specialist
  • Pleasanton, CA
National Provider Identifier
1104488592
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
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

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.