NPIMap

Organization Active NPI

Detlef Ehling MD, Inc.

  • Medical Specialty Clinic/Center
  • Concord, CA
National Provider Identifier
1689846552
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A66608 Issued in CA
Legal business name
DETLEF EHLING MD, INC.
Practice address
2485 High School Ave
Suite 208
Concord, CA 94520-1819
Phone
(925) 682-0390
Fax
(925) 682-0391
NPI assigned
Mar 31, 2008
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Detlef Ehling, M.D.NPI 1154331155
Title
President
Phone
(925) 682-0390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A66608 CA Primary

Addresses

Primary practice location

2485 High School Ave
Suite 208
Concord, CA 94520-1819

Mailing address

2485 High School Ave
Suite 208
Concord, CA 94520-1819
Phone (925) 682-0390

National Provider Directory

National Provider Directory

Locations

2485 High School Ave
Ste 208
Concord, CA 94520
Phone (925) 671-7629

Practitioners & affiliated clinicians

Practitioners 3

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": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1689846552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE",
            "address_2": "SUITE 208",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201819",
            "telephone_number": "925-682-0390",
            "fax_number": "925-682-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE",
            "address_2": "SUITE 208",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201819",
            "telephone_number": "925-682-0390",
            "fax_number": "925-682-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETLEF EHLING MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "EHLING",
        "authorized_official_first_name": "DETLEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-682-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A66608",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 31, 2008; 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.