NPIMap

Organization Active NPI

Comprehensive Occupational Medicine Partners Medical Group, Inc.

  • Occupational Medicine Clinic/Center
  • Pleasanton, CA
National Provider Identifier
1376981555
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
G36135 Issued in CA
Legal business name
COMPREHENSIVE OCCUPATIONAL MEDICINE PARTNERS MEDICAL GROUP, INC.
Practice address
5635 W Las Positas Blvd
Suite 401
Pleasanton, CA 94588-8538
Phone
(925) 520-0055
Fax
(925) 520-0099
NPI assigned
Jun 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Ms. Dana Colleen Drew-Nord, PHD, ANP, BC
Title
Secretary, Cfo
Phone
(925) 520-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X G36135 CA Primary

Addresses

Primary practice location

5635 W Las Positas Blvd
Suite 401
Pleasanton, CA 94588-8538

Mailing address

5635 W Las Positas Blvd
Suite 401
Pleasanton, CA 94588-8538
Phone (925) 520-0055

Other names 1

  • Premier COMP Medical Group, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1376981555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 W LAS POSITAS BLVD",
            "address_2": "SUITE 401",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888538",
            "telephone_number": "925-520-0055",
            "fax_number": "925-520-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 W LAS POSITAS BLVD",
            "address_2": "SUITE 401",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888538",
            "telephone_number": "925-520-0055",
            "fax_number": "925-520-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE OCCUPATIONAL MEDICINE PARTNERS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "DREW-NORD",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "SECRETARY, CFO",
        "authorized_official_telephone_number": "925-520-0055",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD, ANP, BC"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CA",
            "license": "G36135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier COMP Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.