Contra Costa Community College District

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CONTRA COSTA COMMUNITY COLLEGE DISTRICT

Doing business as

Diablo Valley College Dental Hygiene Dept

Practice address

321 Golf Club Rd
LHS 102
Pleasant Hill, CA 94523-1529

Phone

(925) 685-1230

Fax

(925) 689-6529

NPI assigned

Nov 8, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria Lynn Day, DDS

Title

Supervising Dentist

Phone

(925) 685-1230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diablo Valley College Dental Hygiene Dept Doing business as

Locations

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154302123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 GOLF CLUB RD",
            "address_2": "LHS 102",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231529",
            "telephone_number": "925-685-1230",
            "fax_number": "925-689-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 GOLF CLUB RD",
            "address_2": "LHS 102",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231529",
            "telephone_number": "925-685-1230",
            "fax_number": "925-689-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SUPERVISING DENTIST",
        "authorized_official_telephone_number": "925-685-1230",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "G9080301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diablo Valley College Dental Hygiene Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Steven Collins, LMFT #32049
• Charleston Cone, MD
• Heather Coniglio, SLPA
• Connect & Bloom Speech Therapy Inc.
• Rachel Connelly
• Contra Costa County (First HOPE)
• Contra Costa County (Children's Countywide Wraparound Program)
• Contra Costa County Office of Education
• Contra Costa Interfaith Transitional Housing (Hope Solutions)
• Contra Costa Pathology Associates

• Clinic/Center in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.