Organization · Type 2 NPI

Contra Costa County

Prison Health Clinic/Center · Clayton, CA

NPI number 1053290551 Active

Practice location

12000 Marsh Creek Rd
Clayton, CA 94517-9760

Call (925) 646-5700 Map

Mailing address

50 Douglas Dr Ste 310
Martinez, CA 94553-4003

Specialties and licenses

Taxonomy	Code	License
Prison Health Clinic/Center Primary	261QP2400X	None listed

Prison Health Clinic/Center: Definition to come...

Another provider at this address

Contra Costa CountyPharmacy Clayton, CA NPI 1225879471

NPI record

NPI: 1053290551
Entity type: Organization (Type 2)
Issued: Aug 28, 2025
Last updated: Oct 8, 2025
Status: Active
Subpart: Yes of Contra Costa County

Other names

Marsh Creek Detention Facility Health Clinic · doing business as

Authorized official

David D. Lee, MBA, FHFMA
Deputy CFO
(925) 957-5445

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053290551

Contra Costa County's National Provider Identifier is 1053290551, issued on Aug 28, 2025. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Clayton, CA. The record was last updated on Oct 8, 2025.