Contra Costa Infectious Disease Medical Group Inc.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

G277481 Issued in CA

Legal business name

CONTRA COSTA INFECTIOUS DISEASE MEDICAL GROUP INC.

Practice address

3301 Clayton Rd
Concord, CA 94519-2820

Phone

(925) 671-7629

NPI assigned

Oct 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Elliot Ein, M.D.

Title

President

Phone

(925) 366-4383

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Detlef K. Ehling, M.D.

  • Family Medicine Physician
  • Concord, CA
  • NPI 1154331155
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1104909530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192820",
            "telephone_number": "925-671-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192820",
            "telephone_number": "925-671-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA INFECTIOUS DISEASE MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "EIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-366-4383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G277481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Contra Costa County (Central County Children's Mental Health Services)
• Contra Costa County Behavioral Health
• Contra Costa County Health Services (Contra Costa County Mental Health)
• Contra Costa ENT Medical Assoc
• Contra Costa Eye Medical Center Inc
• Contra Costa Mental Health Wellness Center Inc
• Contra Costa MH Wellness Center
• Contra Costa Pathology Associates
• Contra Costa Transit Authority
• Simran Contractor

• Infectious Disease Physician in Concord, CA
• Providers in Concord, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.