N/A
NPI 1194055749
Community/Behavioral Health in Antioch, CA

Q: What is N/A's NPI number?

The NPI number for N/A is 1194055749. It was assigned to this organization in the NPPES registry on January 4, 2010.

Q: What is N/A's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for N/A was last updated on January 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 04, 2010

4051 LONE TREE WAY STE C, ANTIOCH, CA 94531(925) 757-2900 Get Directions Write a Review

NPPES record last updated: January 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About N/a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

N/A (NPI 1194055749) is a healthcare organization registered as a community/behavioral health in Antioch, California and active in the NPI registry since January 2010. The organization lists Kevin Roland Martin, Phlebotomist, as its authorized official.

NPPES Registry Identity

NPI1194055749

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameN/A

Location Address4051 LONE TREE WAY STE CAntioch, CA 94531-6204

Mailing Address1869 San Andres DrPittsburg, CA 94565-7651 · (925) 458-5124

Phone(925) 757-2900

Organization SubpartNo

Authorized OfficialKevin Roland MartinPhlebotomist · (925) 458-5124

Enumeration DateJanuary 4, 2010

✔ NPI 1194055749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in CA · 246RP1900X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4051 LONE TREE WAY STE C, Antioch, CA 94531

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Other Identifiers 1

Other93015226E48032CA · Ca

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is N/A's NPI number?

The NPI number for N/A is 1194055749. It was assigned to this organization in the NPPES registry on January 4, 2010.

Where is N/A located?

N/A is located at 4051 Lone Tree Way Ste C, Antioch, CA 94531. The listed phone number is (925) 757-2900.

What is N/A's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for N/A was last updated on January 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.