CONTRA COSTA ENT MEDICAL ASSOC – NPI #1013007889
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

CONTRA COSTA ENT MEDICAL ASSOC is an otolaryngologist located in CONCORD, CA. NPPES has assigned the NPI number 1013007889 to CONTRA COSTA ENT MEDICAL ASSOC on October 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 15 years ago on Sep 02, 2011. 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 ENT MEDICAL ASSOC below.

NPI Profile for
CONTRA COSTA ENT MEDICAL ASSOC

NPI Number
1013007889
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 ENT MEDICAL ASSOC
Primary location
2700 GRANT ST
SUITE 104
CONCORD, CA 94520
Phone: (925) 685-7400 Fax: (925) 685-0917
Mailing address
2700 GRANT STREET
SUITE 104
CONCORD, CA 94520
Phone: (925) 685-7400 Fax: (925) 685-0917
Organization Subpart
No
Authorized Official
RANDALL WENOKUR
OWNER PHYSICIAN
Phone: (825) 685-7400
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
207Y00000X
- Otolaryngology (Primary)

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.