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CONTRA COSTA REHAB
NPI 1275227084
Clinic/Center - Rehabilitation, Substance Use Disorder in Antioch, CA

Active since June 05, 2023CLIA 05D2316044 · Waiver
3700 SUNSET LN STE 2, ANTIOCH, CA 94509(310) 343-8684 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2024, Nov 1, 2023, Jun 5, 2023 (3 updates tracked since 2023).

About Contra Costa Rehab NPPES

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

CONTRA COSTA REHAB (NPI 1275227084) is a healthcare organization registered as a rehabilitation, substance use disorder in Antioch, California and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through December 25, 2026 and lists Shaina Donner, Manager, as its authorized official.

NPPES Registry Identity

NPI1275227084
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCONTRA COSTA REHAB
Location Address3700 SUNSET LN STE 2Antioch, CA 94509-6123
Mailing Address3700 Sunset Ln Ste 2Antioch, CA 94509-6123
Phone(310) 343-8684
Organization SubpartNo
Authorized OfficialShaina DonnerManager · (310) 343-8684
Enumeration DateJune 5, 2023
Last NPPES UpdateApril 2, 20243 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1275227084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy 261QR0401X
3700 SUNSET LN STE 2, Antioch, CA 94509
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2316044

Contra Costa Rehab LLC · Antioch, CA
Active · expires Dec 25, 2026
CLIA Number05D2316044
Laboratory TypeIop
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorJiseung Yoon
Laboratory Phone(310) 343-8684
Laboratory LocationContra Costa Rehab LLC3700 Sunset Ln, Suite 2, Antioch, CA 94509
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Contra Costa Rehab's NPI number?

The NPI number for Contra Costa Rehab is 1275227084. It was assigned to this organization in the NPPES registry on June 5, 2023.

Where is Contra Costa Rehab located?

Contra Costa Rehab is located at 3700 Sunset Ln Ste 2, Antioch, CA 94509. The listed phone number is (310) 343-8684.

What is Contra Costa Rehab's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Contra Costa Rehab hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2316044) is associated with this NPI, valid through December 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Contra Costa Rehab was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.