ALEXANDRA ANN CONCANNON DO
NPI 1962022343
Pediatrics in Antioch, CA

Q: What is Alexandra Concannon's NPI number?

The NPI number for Alexandra Concannon is 1962022343. It was assigned to this individual provider in the NPPES registry on April 25, 2020.

Q: What is Alexandra Concannon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 25, 2020PECOS Enrolled

3400 DELTA FAIR BLVD, ANTIOCH, CA 94509(925) 779-5000 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2023, Apr 25, 2020 (2 updates tracked since 2020).

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About Alexandra Ann Concannon Do NPPES

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

ALEXANDRA ANN CONCANNON DO (NPI 1962022343) is an individual pediatrics provider in Antioch, California, licensed in California (20A21118) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962022343

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameALEXANDRA ANN CONCANNONCredential: DO

Location Address3400 DELTA FAIR BLVDAntioch, CA 94509-4004

Mailing Address3400 Delta Fair BlvdAntioch, CA 94509-4004

Phone(925) 779-5000

Sole ProprietorNo

Enumeration DateApril 25, 2020

Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1962022343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · 20A21118

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3400 DELTA FAIR BLVD, Antioch, CA 94509

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Ann Concannon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW ROBERT WHITE PT

Physical Therapist

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 779-5442

ROSETTA C. NEWHALL MD

Pediatrics

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 779-5000

DR. SANAZ STACY ABOUTALEBI-SIMON O.D.

Optometrist (Corneal and Contact Management)

3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC.
ANTIOCH, CA 94509

Contra Costa County (925) 779-5223

RAJ V. DASARI MD

Emergency Medicine

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 779-5000

DR. ATHENA PANZAR PSY.D.

Counselor (Mental Health)

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 779-5090

AL G. SUMAQUIAL MD

Internal Medicine

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 779-5000

BERNABE FLORO URBANO JR. MD

Pediatrics

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 779-5000

DR. PHILIP SONG M.D.

Dermatology

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 817-5600

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 Alexandra Concannon's NPI number?

The NPI number for Alexandra Concannon is 1962022343. It was assigned to this individual provider in the NPPES registry on April 25, 2020.

Where is Alexandra Concannon located?

Alexandra Concannon practices at 3400 Delta Fair Blvd, Antioch, CA 94509. The listed phone number is (925) 779-5000.

What is Alexandra Concannon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alexandra Concannon enrolled in Medicare?

Yes. Alexandra Concannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Concannon was last updated on August 18, 2023. 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.