Organization Active NPI

Contra Costa Health Services

  • Case Management Agency
  • San Pablo, CA
National Provider Identifier
1104968775
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CONTRA COSTA HEALTH SERVICES
Practice address
2523 El Portal Dr
Suite #103
San Pablo, CA 94806-3305
Phone
(510) 374-7500
Fax
(510) 374-7504
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Mr. Eric Darnell Devers
Title
Case Manager
Phone
(510) 374-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2523 El Portal Dr
Suite #103
San Pablo, CA 94806-3305

Mailing address

2523 El Portal Dr
Suite #103
San Pablo, CA 94806-3305
Phone (510) 374-7398

Other identifiers 1

IdentifierTypeStateIssuer
1839OtherCAMENTAL HEALTH

National Provider Directory

National Provider Directory

Locations

2523 El Portal Dr
Ste 103
San Pablo, CA 94806
Phone (510) 215-3730

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1104968775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 EL PORTAL DR",
            "address_2": "SUITE #103",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063305",
            "telephone_number": "510-374-7398",
            "fax_number": "510-374-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 EL PORTAL DR",
            "address_2": "SUITE #103",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063305",
            "telephone_number": "510-374-7500",
            "fax_number": "510-374-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "DEVERS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DARNELL",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "510-374-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "1839",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.