Organization Active NPI

California Psychiatric Medical Group

  • Specialist
  • Pleasant Hill, CA
National Provider Identifier
1407809650
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CALIFORNIA PSYCHIATRIC MEDICAL GROUP
Practice address
3478 Buskirk Ave,
Suite 219
Pleasant Hill, CA 94523-4346
Phone
(925) 934-0800
Fax
(925) 952-4032
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Peter Brandes, MD
Title
President
Phone
(925) 934-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3478 Buskirk Ave,
Suite 219
Pleasant Hill, CA 94523-4346

Mailing address

3478 Buskirk Ave
Suite 219
Pleasant Hill, CA 94523-4346
Phone (925) 934-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061221000557 CA Part B Supplier - Clinic/Group Practice 1355341389 Practice locations: Pleasant Hill, CA

National Provider Directory

National Provider Directory

Locations

2700 Grant St
Ste 301
Concord, CA 94520
Phone (925) 674-2407

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1407809650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3478 BUSKIRK AVE",
            "address_2": "SUITE 219",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234346",
            "telephone_number": "925-934-0800",
            "fax_number": "925-952-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 BUSKIRK AVE,",
            "address_2": "SUITE 219",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234346",
            "telephone_number": "925-934-0800",
            "fax_number": "925-952-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PSYCHIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "BRANDES",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-934-0800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.