CONTRA COSTA PEDIATRICS – NPI #1386857563
Clinic/Center

CONTRA COSTA PEDIATRICS is an AHC clinic located in ANTIOCH, CA. NPPES has assigned the NPI number 1386857563 to CONTRA COSTA PEDIATRICS on May 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 17 years ago on May 22, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONTRA COSTA PEDIATRICS below.

NPI Profile for
CONTRA COSTA PEDIATRICS

NPI Number
1386857563
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONTRA COSTA PEDIATRICS
Primary location
5173 LONE TREE WAY
ANTIOCH, CA 94531
Phone: (415) 260-6495 Fax:
Mailing address
2797 OLIVEWOOD LN
VALLEJO, CA 94591-6393
Phone: Fax:
Organization Subpart
No
Authorized Official
MICHELLE JONES
PEDIATRICIAN
Phone: (415) 260-6495
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 CA A81111

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.