Organization Active NPI

West Contra Costa Healthcare District

  • General Acute Care Hospital
  • San Pablo, CA
National Provider Identifier
1891733788
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
110000485 Issued in CA
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

Updated by the provider on Jul 5, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HSP40079IMedicaidCA
HSC00079IMedicaidCA

Other names 1

  • Doctor's Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.