Organization Active NPI

Claudell Stephens MD and Yvonne Cobbs NP Medical Practices

  • Health Service Clinic/Center
  • Pinole, CA
National Provider Identifier
1609111830
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
G34895 Issued in CA
Legal business name
CLAUDELL STEPHENS MD AND YVONNE COBBS NP MEDICAL PRACTICES
Practice address
1063 San Pablo Ave Ste B
Pinole, CA 94564-2473
Phone
(510) 964-9275
Fax
(888) 804-1432
NPI assigned
Nov 28, 2012
Last updated
Jun 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Ms. Yvonne Carlisa Cobbs, RN, PHN, ANP-CNPI 1578527842
Title
Partner
Phone
(510) 964-9275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X G34895 CA Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X NP11980 CA
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X NP11980 CA

Addresses

Primary practice location

1063 San Pablo Ave Ste B
Pinole, CA 94564-2473

Mailing address

1063 San Pablo Ave Ste B
Pinole, CA 94564-2473
Phone (510) 964-9275

Other names 1

  • Healthy Living Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140723002857 CA Part B Supplier - Clinic/Group Practice 8921224106 Receives reassigned benefits from 1 practitioner
Practice locations: Pinole, CA
O20160701001843 CA Part B Supplier - Clinic/Group Practice 8820380371 Receives reassigned benefits from 2 practitioners
Practice locations: Pinole, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2152288Claudell Stephens MD & Yvonne Cobbs NP1063 San Pablo Ave Ste B, Pinole, CA 94564Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1609111830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 SAN PABLO AVE STE B",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642473",
            "telephone_number": "510-964-9275",
            "fax_number": "888-804-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 SAN PABLO AVE STE B",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642473",
            "telephone_number": "510-964-9275",
            "fax_number": "888-804-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDELL STEPHENS MD AND YVONNE COBBS NP MEDICAL PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "COBBS",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "CARLISA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "510-964-9275",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, PHN, ANP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "G34895",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP11980",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP11980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Living Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.