NPIMap

Organization Active NPI

Contra Costa County

Doing business as Contra Costa Regional Medical Center Emergency Department

  • Federally Qualified Health Center (FQHC)
  • Martinez, CA
National Provider Identifier
1679642904
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
140000090 Issued in CA
Legal business name
CONTRA COSTA COUNTY
Doing business as
Contra Costa Regional Medical Center Emergency Department
Practice address
2500 Alhambra Ave
Martinez, CA 94553-3156
Phone
(925) 957-5429
Fax
(925) 957-5401
NPI assigned
Nov 8, 2006
Last updated
Oct 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CONTRA COSTA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
David D. Lee, MBA, FHFMA
Title
Deputy Cfo
Phone
(925) 957-5445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 140000090 CA Primary

Addresses

Primary practice location

2500 Alhambra Ave
Martinez, CA 94553-3156

Mailing address

50 Douglas Dr Ste 310
Martinez, CA 94553-4003

Other identifiers 1

IdentifierTypeStateIssuer
FHC40276FMedicaidCA

Other names 1

  • Contra Costa Regional Medical Center Emergency Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Contra Costa Cnty Outpa99 organizations share this tax ID, including this one
Part of
Contra Costa Cnty Outpa

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1679642904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DOUGLAS DR STE 310",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALHAMBRA AVE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533156",
            "telephone_number": "925-957-5429",
            "fax_number": "925-957-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONTRA COSTA COUNTY",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DEPUTY CFO",
        "authorized_official_telephone_number": "925-957-5445",
        "authorized_official_credential": "MBA, FHFMA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "140000090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC40276F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contra Costa Regional Medical Center Emergency Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.