NPIMap

Organization Active NPI

Planned Parenthood Shasta Diablo Inc

  • Clinical Medical Laboratory
  • San Rafael, CA
National Provider Identifier
1932855939
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PLANNED PARENTHOOD SHASTA DIABLO INC
Practice address
2 H St FL 1
San Rafael, CA 94901-1700
Phone
(925) 887-5233
NPI assigned
Feb 28, 2022
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Ms. Jamille Hamlet
Title
Interim Director of Human Resources
Phone
(925) 887-5364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2 H St FL 1
San Rafael, CA 94901-1700

Mailing address

2185 Pacheco St
Concord, CA 94520-2309
Phone (925) 348-5597

Other identifiers 1

IdentifierTypeStateIssuer
CDF-90005638OtherCASTATE LICENSE

Other names 1

  • Planned Parenthood Northern California Reference Laboratory Other name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Northern California9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2185 Pacheco St
Concord, CA 94520
Phone (925) 676-0300

2 H St
Fl 1
San Rafael, CA 94901
Phone (925) 887-5233

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1932855939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 PACHECO ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202309",
            "telephone_number": "925-348-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 H ST FL 1",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011700",
            "telephone_number": "925-887-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD SHASTA DIABLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "HAMLET",
        "authorized_official_first_name": "JAMILLE",
        "authorized_official_title_or_position": "INTERIM DIRECTOR OF HUMAN RESOURCES",
        "authorized_official_telephone_number": "925-887-5364",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CDF-90005638",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Northern California Reference Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.