Active NPI
California Community Care Clinics, P.C.
- Substance Use Disorder Rehabilitation Clinic/Center
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- CALIFORNIA COMMUNITY CARE CLINICS, P.C.
- Practice address
- 1130 Conroy LN Ste 150
Roseville, CA 95661-4154 - Phone
- (615) 466-3507
- NPI assigned
- Jan 18, 2021
- 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
- Dr. Steven Descoteaux
- Title
- President
- Phone
- (508) 599-4802
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 |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
1130 Conroy LN Ste 150
Roseville, CA 95661-4154
Mailing address
1283 Murfreesboro Pike Ste 500
Nashville, TN 37217-2421
Phone (615) 466-3507
National Provider Directory
National Provider DirectoryLocations
1130 Conroy Ln
Ste 150
Roseville, CA 95661
Phone (615) 466-3507
Practitioners & 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.
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1528090040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611014400000",
"number": "1255920880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1283 MURFREESBORO PIKE STE 500",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372172421",
"telephone_number": "615-466-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 CONROY LN STE 150",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614154",
"telephone_number": "615-466-3507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA COMMUNITY CARE CLINICS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-18",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "DESCOTEAUX",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-599-4802",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.