Individual provider Active NPI

Preston James Wright, PHD

  • Clinical Social Worker
  • San Ramon, CA
National Provider Identifier
1992967228
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3667 Issued in CA
Practice address
2723 Crow Canyon Rd Ste 205
San Ramon, CA 94583-1583
Phone
(925) 820-6280
Fax
(925) 820-8482
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3667 CA Primary

Addresses

Primary practice location

2723 Crow Canyon Rd Ste 205
San Ramon, CA 94583-1583

Mailing address

2723 Crow Canyon Rd Ste 205
San Ramon, CA 94583-1583
Phone (925) 820-6280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1992967228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 CROW CANYON RD STE 205",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831583",
            "telephone_number": "925-820-6280",
            "fax_number": "925-820-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 CROW CANYON RD STE 205",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831583",
            "telephone_number": "925-820-6280",
            "fax_number": "925-820-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "PRESTON",
        "middle_name": "JAMES",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "3667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.