Medical One, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MEDICAL ONE, LLC

Doing business as

MedicalOne Behavioral Health Services

Practice address

2213 Buchanan Rd Ste 202
Antioch, CA 94509-4265

Phone

(925) 436-3155

Fax

(925) 278-6600

NPI assigned

Nov 22, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria C Nwokochah

Title

Administrator

Phone

(925) 436-3155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MedicalOne Behavioral Health Services Doing business as

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542844800000",
    "number": "1356810188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3252",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945313252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 BUCHANAN RD STE 202",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094265",
            "telephone_number": "925-436-3155",
            "fax_number": "925-278-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-22",
        "last_updated": "2018-11-22",
        "status": "A",
        "authorized_official_last_name": "NWOKOCHAH",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "925-436-3155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "697899",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedicalOne Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Elaine McNesby, PHARMD
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• Jason Edward Meadors Sr., RADT
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• Community/Behavioral Health Agency in Antioch, CA
• Providers in Antioch, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2018; 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.