Elda

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELDA

Doing business as

Elda

Practice address

2334 Buchanan Rd Ste 2356
Antioch, CA 94509-4411

Phone

(925) 436-8766

NPI assigned

Oct 9, 2020

Last updated

Oct 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonta Laron Davenport, LAADACNPI 1093137978

Title

Ceo

Phone

(510) 759-1320

Specialties & licenses 1

Addresses

Other names 1

• ELDA Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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.

• Jonta La'Ron Davenport

  • Mental Health Counselor
  • Pleasant Hill, CA
  • NPI 1093137978
  NPD Authorized official

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1861090086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 GLEN CANYON CIR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945656458",
            "telephone_number": "510-759-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 BUCHANAN RD STE 2356",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094411",
            "telephone_number": "925-436-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JONTA",
        "authorized_official_middle_name": "LARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-759-1320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAADAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ELDAHOUSE.ORG",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2334 Buchanan Rd Ste 2356",
            "city": "Antioch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945094411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ELDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eileen M Linder Optometrist Inc (Eye To Eye Optometry Group)
• Olamma Maria Eke
• Barbara Marie Ekman
• Marguerite Christine Elcenko-Hecimovich, DC
• Noble Ozory Elcenko, DC
• Sharlene M. Eldredge, PPS
• Ioannis E. Eleftheriadis, MD
• Wagih Samy Elgendy, PHARM. D.
• Deborah Kathleen Elkins
• Ellie Strasser DDS Inc (Diablo Dentistry)

• Clinical Social Worker in Antioch, CA
• Providers in Antioch, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.