EPIC CARE
Complete NPI Record 1780107797
Clinic/Center - Multi-Specialty in Antioch, CA
Active since July 21, 2017CLIA Certified · 4 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Epic Care (NPI 1780107797), a clinic/center organization in Antioch, CA. All 30 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1780107797 Field 1/30
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/30
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/30
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: EPIC CARE Field 4/30
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 2345 COUNTRY HILLS DR STE 100 Field 5/30
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: ANTIOCH Field 6/30
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 7/30
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 945097319 Field 8/30
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/30
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 9254180279 Field 10/30
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 9259780991 Field 11/30
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 4721 DALLAS RANCH RD Field 12/30
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: ANTIOCH Field 13/30
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 14/30
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 945318811 Field 15/30
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/30
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9257780679 Field 17/30
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 9257783567 Field 18/30
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: PATEL Field 21/30
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: BIMAL Field 22/30
- The first name of the authorized official.
- Authorized Official Middle Name: J. Field 23/30
- The middle name of the authorized official.
- Authorized Official Title or Position: PRESIDENT Field 24/30
- The title or position of the authorized official.
- Authorized Official Telephone Number: 9257780679 Field 25/30
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QM1300X Field 26/30
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number State Code 1: CA Field 27/30
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 28/30
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 29/30
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Credential Text: MD Field 30/30
- The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
Secondary Practice Locations 15
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
13851 E 14th St Ste 308
Location 1/15San Leandro, CA 94578-2630 · Phone (510) 483-2555 · Fax (510) 483-1856
365 Hawthorne Ave Ste 101
Location 2/15Oakland, CA 94609-3115 · Phone (510) 465-5523 · Fax (510) 832-6061
13851 E 14th St Ste 305
Location 3/15San Leandro, CA 94578-2630 · Phone (510) 351-1193 · Fax (510) 351-6456
2400 Balfour Rd Ste 230
Location 4/15Brentwood, CA 94513-4957 · Phone (925) 634-8128 · Fax (925) 308-8199
2700 Grant St
Location 5/15Concord, CA 94520-2266 · Phone (925) 338-8511 · Fax (925) 338-8888
27206 Calaroga Avenue, Suite 208
Location 6/15Hayward, CA 94545-4300 · Phone (510) 264-0300 · Fax (510) 264-9510
388 9th St Ste 218B
Location 7/15Oakland, CA 94607-4287 · Phone (510) 629-6682 · Fax (510) 830-3316
1330 Tara Hills Dr Ste E
Location 8/15Pinole, CA 94564-2531 · Phone (510) 275-7670 · Fax (510) 830-3316
2301 Camino Ramon Ste 180
Location 9/15San Ramon, CA 94583-2060 · Phone (925) 338-8511 · Fax (925) 338-8888
3003 Oak Rd
Location 10/15Walnut Creek, CA 94597-4541 · Phone (925) 418-0279
2999 Regent St Ste 700
Location 11/15Berkeley, CA 94705-2122 · Phone (510) 486-0818 · Fax (510) 486-0819
400 Taylor Blvd Ste 201
Location 12/15Pleasant Hill, CA 94523-2163 · Phone (925) 687-2570 · Fax (925) 687-2847
1480 64th St Ste 100
Location 13/15Emeryville, CA 94608-2038 · Phone (510) 629-6682 · Fax (510) 830-3316
20400 Lake Chabot Rd Ste 102
Location 14/15Castro Valley, CA 94546-5314 · Phone (510) 247-9227 · Fax (510) 247-9241
6380 Clark Ave
Location 15/15Dublin, CA 94568-3036 · Phone (925) 875-1677 · Fax (925) 875-0826
No registry entries match your active lookup criteria.
