Individual provider Active NPI

Mary Christine Jean, NP

  • Family Nurse Practitioner
  • Concord, CA
National Provider Identifier
1902754070
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95039024 Issued in CA
Practice address
1470 Civic CT Ste 310
Concord, CA 94520-5230
Phone
(925) 246-5233
Fax
(925) 390-1896
NPI assigned
Mar 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95039024 CA Primary

Addresses

Primary practice location

1470 Civic CT Ste 310
Concord, CA 94520-5230

Mailing address

1470 Civic CT Ste 310a
Concord, CA 94520-5230

Other practice location 1

2455 Sand Creek Rd
Brentwood, CA 94513-7195
Phone (925) 679-4876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260420001603 CA Practitioner - Nurse Practitioner 1951877687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPM California LLCGroup PAC ID 0749655538, 2 clinicians
Parkhill Health IncGroup PAC ID 7810343480, 13 clinicians

Practice addresses (Care Compare)

Concord, CA 94520
Phone (888) 253-6598

2455 Sand Creek Rd
Suite 144
Brentwood, CA 94513-7176
Phone (510) 703-4496

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95039024CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Landing Healthcare LLC CurrentSince Mar 20, 2026 Accepting new patients
PPM California LLC CurrentSince Mar 20, 2026 Accepting new patients
Parkhill Health Inc CurrentSince Mar 24, 2026 Accepting new patients

Locations

2455 Sand Creek Rd
Ste 144
Brentwood, CA 94513
Phone (510) 386-6136

2455 Sand Creek Rd
Brentwood, CA 94513
Phone (925) 679-4876

1470 Civic Ct
Ste 310A
Concord, CA 94520
Phone (925) 391-2255

1470 Civic Ct
Ste 310
Concord, CA 94520
Phone (925) 246-5233

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1902754070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 CIVIC CT STE 310A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 CIVIC CT STE 310",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205230",
            "telephone_number": "925-246-5233",
            "fax_number": "925-390-1896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 Sand Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945137195",
            "country_code": "US",
            "telephone_number": "925-679-4876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN",
        "first_name": "MARY CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95039024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.