Active NPI
West Contra Costa Healthcare District
- General Acute Care Hospital
- San Pablo, CA
National Provider Identifier
1891733788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 110000485
- Legal business name
- WEST CONTRA COSTA HEALTHCARE DISTRICT
- Practice address
- 2000 Vale Rd
San Pablo, CA 94806-3808 - Phone
- (510) 970-5000
- Fax
- (510) 970-5728
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Boatman
- Title
- Cfo
- Phone
- (510) 970-5107
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 110000485 | CA | Primary |
Addresses
Primary practice location
2000 Vale Rd
San Pablo, CA 94806-3808
Mailing address
2000 Vale Rd
San Pablo, CA 94806-3808
Phone (510) 970-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP40079I | Medicaid | CA | |
| HSC00079I | Medicaid | CA |
Other names 1
- Doctor's Medical Center
National Provider Directory
National Provider DirectoryLocations
Dept LA 23815
Pasadena, CA 91185
100 San Pablo Towne Ctr
San Pablo, CA 94806
Phone (510) 970-5000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Manteca, CA
- NPI 1720125339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341446400000",
"number": "1891733788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 VALE RD",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063808",
"telephone_number": "510-970-5000",
"fax_number": "510-970-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 VALE RD",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063808",
"telephone_number": "510-970-5000",
"fax_number": "510-970-5728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST CONTRA COSTA HEALTHCARE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2012-07-05",
"status": "A",
"authorized_official_last_name": "BOATMAN",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "510-970-5107"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "110000485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40079I",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSC00079I",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Doctor's Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Pablo, CA
- Patricia Wardley
- Warren Nelson MD, a Medical Corporation
- Tiffany L Washington, CD
- David S. Weiland, M.D.
- Gilbert Kesten Weisman, M.D.
- West Contra Costa Urological Surgery Medical Group Inc.
- Western Dental Services, Inc.
- Breanna Regenae White
- Katherine Dagmar Wilkens, PA
- William W Chen MD Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.