Active NPI
Mariposa McCall, M.D.
- Psychiatry Physician
- Concord, CA
National Provider Identifier
1720164809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A75636
- Practice address
- Central County Adult Behavioral Health
1420 Willow Pass Rd, Ste 200
Concord, CA 94520 - Phone
- (925) 646-5480
- Fax
- (925) 649-5622
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A75636 | CA | Primary |
Addresses
Primary practice location
Central County Adult Behavioral Health
1420 Willow Pass Rd, Ste 200
Concord, CA 94520
Mailing address
Central County Adult Behavioral Health
1420 Willow Pass Rd, Ste 200
Concord, CA 94520
Phone (925) 646-5480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FQHC 05-1063 | Other | CA | MEDICARE PART A |
| FQHC ZZZ29799Z | Other | CA | MEDICARE PART B |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A75636 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1720164809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CENTRAL COUNTY ADULT BEHAVIORAL HEALTH",
"address_2": "1420 WILLOW PASS RD, STE 200",
"city": "CONCORD",
"state": "CA",
"postal_code": "94520",
"telephone_number": "925-646-5480",
"fax_number": "925-649-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRAL COUNTY ADULT BEHAVIORAL HEALTH",
"address_2": "1420 WILLOW PASS RD, STE 200",
"city": "CONCORD",
"state": "CA",
"postal_code": "94520",
"telephone_number": "925-646-5480",
"fax_number": "925-649-5622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALL",
"first_name": "MARIPOSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A75636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART A",
"identifier": "FQHC 05-1063",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "FQHC ZZZ29799Z",
"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 Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.