Active NPI
Gary Joseph Cristofani, C.A.T.S.
- Mental Health Counselor
- Concord, CA
National Provider Identifier
1649336819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 970139 1
- Practice address
- 1470 Civic Court
Suite 111
Concord, CA 94520-3977 - Phone
- (925) 265-6661
- Fax
- (925) 689-7436
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 970139 1 | CA | Primary |
Addresses
Primary practice location
1470 Civic Court
Suite 111
Concord, CA 94520-3977
Mailing address
1470 Civic CT
Rubicon Programs
Concord, CA 94520-5290
Phone (925) 265-6661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CASE MANAGER | Other | CA | CARE COORDINATOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 970139 1 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1649336819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 CIVIC CT",
"address_2": "RUBICON PROGRAMS",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205290",
"telephone_number": "925-265-6661",
"fax_number": "925-689-7436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 CIVIC COURT",
"address_2": "SUITE 111",
"city": "CONCORD",
"state": "CA",
"postal_code": "945203977",
"telephone_number": "925-265-6661",
"fax_number": "925-689-7436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISTOFANI",
"first_name": "GARY",
"middle_name": "JOSEPH",
"credential": "C.A.T.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "970139 1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE COORDINATOR",
"identifier": "CASE MANAGER",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.