Contra Costa Industrial Medicine Clinic

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

CONTRA COSTA INDUSTRIAL MEDICINE CLINIC

Practice address

2339 Buchanan Rd
Antioch, CA 94509-4402

Phone

(925) 777-9194

Fax

(925) 777-1120

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Patricia A Thomas, P.A.NPI 1902012354

Title

Administrator

Phone

(925) 777-9194

Specialties & licenses 1

Addresses

Other names 1

• Contra Costa Industrial Medical Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia A Thomas, PA-C

  • Physician Assistant
  • Richmond, CA
  • NPI 1902012354
  NPD (past) Authorized official
• Ana Gladys Zaiduni Nunez

  • Family Nurse Practitioner
  • Hayward, CA
  • NPI 1760949143
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679586259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BROADWAY AVE",
            "address_2": "STE 23",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "94804",
            "telephone_number": "510-236-7243",
            "fax_number": "510-232-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 BUCHANAN RD",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094402",
            "telephone_number": "925-777-9194",
            "fax_number": "925-777-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA INDUSTRIAL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "925-777-9194",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contra Costa Industrial Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaella M Conteh
• Contra Costa County
• Contra Costa County
• Contra Costa County
• Contra Costa County
• Contra Costa Pediatrics
• Contra Costa Rehab
• Contra Costa Youth Service Bureau
• Contra Loma Healthcare, LLC
• Mary Grace Anne Robes Contreras

• Occupational Medicine Clinic/Center in Antioch, CA
• Providers in Antioch, CA by specialty
• Occupational Medicine Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.