NPIMap

Organization Active NPI

Contra Costa County

Doing business as Shadelands Medical Therapy Unit

  • State or Local Public Health Clinic/Center
  • Concord, CA
National Provider Identifier
1336214642
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CONTRA COSTA COUNTY
Doing business as
Shadelands Medical Therapy Unit
Practice address
1860 Silverwood Dr
Concord, CA 94519-1351
Phone
(925) 646-5733
NPI assigned
Nov 21, 2006
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CONTRA COSTA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
David D. Lee, MBA, FHFMA
Title
Deputy Cfo
Phone
(925) 957-5445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

1860 Silverwood Dr
Concord, CA 94519-1351

Mailing address

50 Douglas Dr Ste 310
Martinez, CA 94553-4003

Other identifiers 1

IdentifierTypeStateIssuer
CCS00056FOtherCACCS

Other names 1

  • Shadelands Medical Therapy Unit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Contra Costa Cnty Outpa99 organizations share this tax ID, including this one
Part of
Contra Costa Cnty Outpa

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1860 Silverwood Dr
Concord, CA 94519
Phone (925) 646-5733

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1336214642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DOUGLAS DR STE 310",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SILVERWOOD DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945191351",
            "telephone_number": "925-646-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONTRA COSTA COUNTY",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DEPUTY CFO",
        "authorized_official_telephone_number": "925-957-5445",
        "authorized_official_credential": "MBA, FHFMA"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS",
            "identifier": "CCS00056F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shadelands Medical Therapy Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.