Organization Active NPI

Kumasicali

  • Developmentally Disabled Services Day Training Agency
  • Antioch, CA
National Provider Identifier
1720994049
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
KUMASICALI
Practice address
2810 Lone Tree Way St 9
Antioch, CA 94509-4956
Phone
(925) 255-0002
NPI assigned
Aug 19, 2026
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Queen Adu-Poku, LCSWNPI 1700110657
Title
Owner
Phone
(925) 255-0002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Day Training/Habilitation Specialist 373H00000X

Addresses

Primary practice location

2810 Lone Tree Way St 9
Antioch, CA 94509-4956

Mailing address

2810 Lone Tree Way
Antioch, CA 94509-4956
Phone (925) 255-0002

National Provider Directory

National Provider Directory

Locations

2810 Lone Tree Way
Antioch, CA 94509
Phone (925) 255-0002

Practitioners & affiliated clinicians

Practitioners 2

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": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1720994049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094956",
            "telephone_number": "925-255-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 LONE TREE WAY ST 9",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094956",
            "telephone_number": "925-255-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMASICALI",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "ADU-POKU",
        "authorized_official_first_name": "QUEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-255-0002",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.