CCWF

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

RPH23059 Issued in CA

Legal business name

CCWF

Practice address

3688 Boyer Cir
Lafayette, CA 94549-4904

Phone

(510) 910-7244

NPI assigned

Jul 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Donald De Zordo

Title

Pharm D

Phone

(559) 665-5531

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1790031995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3688 BOYER CIR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494904",
            "telephone_number": "510-910-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 BOYER CIR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494904",
            "telephone_number": "510-910-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCWF",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "DE ZORDO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PHARM  D",
        "authorized_official_telephone_number": "559-665-5531",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "CA",
            "license": "RPH23059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Castelluccio
• Brenda Castro Serrato
• George Reyes Catambay, DDS
• Jacqueline Marie Caulfield, RN
• Cbem LLC
• Robert Patrick Chance, D.C.
• Vivian Chang
• Sherry Anne Chase, PH.D.
• Harmone Chatman
• Daisy Jazmine Chavez

• PACE Provider Organization in Lafayette, CA
• Providers in Lafayette, CA by specialty
• PACE Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.