Organization · Type 2 NPI
Contra Costa County
Mammography Clinic/Center · San Pablo, CA
NPI number
1104996875
Active
Practice location
13601 San Pablo Ave
San Pablo, CA 94806-3818
Mailing address
50 Douglas Dr Ste 310
Martinez, CA 94553-4003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mammography Clinic/Center Primary | 261QR0206X | 140000090 (CA) |
Mammography Clinic/Center: Definition to come...
20 other providers at this address
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- Alva L. Leung, LCSWClinical Social Worker San Pablo, CA NPI 1477670131
- Christina PoncePerinatal Registered Nurse San Pablo, CA NPI 1376936187
- David Velleman, PSYDClinical Psychologist San Pablo, CA NPI 1427308733
- Dean T. Jones, LCSWClinical Social Worker San Pablo, CA NPI 1821207028
- Eleonora GranadosPerinatal Registered Nurse San Pablo, CA NPI 1649664483
- Emma Estelle Richardson, MDFamily Medicine Physician San Pablo, CA NPI 1225595952
- Fanny Chen, RD, CDCESRegistered Dietitian San Pablo, CA NPI 1568294056
- Hannah Stang Su, MDStudent in an Organized Health Care Education/Training Program San Pablo, CA NPI 1144897349
- Jenika Nicole Hatcher, DDSDentist San Pablo, CA NPI 1154578813
About NPI 1104996875
Contra Costa County's National Provider Identifier is 1104996875, issued on Nov 9, 2006. The primary taxonomy on file is Mammography Clinic/Center (261QR0206X), and the practice location is in San Pablo, CA. The record was last updated on Oct 15, 2025.