Active NPI
Contra Costa Health Services
- Case Management Agency
- San Pablo, CA
National Provider Identifier
1104968775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
- Last updated
- Aug 8, 2008
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Richmond, CA
- NPI 1407040603
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": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pablo, CA
- Contra Costa County (West County Adult Mental Health Services)
- Contra Costa County (West County Health Center)
- Contra Costa County (West County Childrens Mental Health Services)
- Contra Costa County (West County Health Center Laboratory)
- Contra Costa County (West County Health Center)
- Jesus Rosario Contreras
- Thomas W Crawford, P.A.
- Creekside Operating Company LP (Creekside Health Care Center)
- Paul Steven Crespo, D.D.S.
- Stephen John Crooms
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.