Organization · Type 2 NPI

Contra Costa County

Prison Health Clinic/Center · Martinez, CA

NPI number 1114806627 Active

Practice location

1000 Ward St
Martinez, CA 94553-1360

Call (925) 335-4712 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...

25 other providers at this address

Other prison health clinic/center providers in Martinez

Contra Costa CountyPrison Health Clinic/Center Martinez, CA NPI 1720967235

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NPI record

NPI: 1114806627
Entity type: Organization (Type 2)
Issued: Aug 28, 2025
Last updated: Oct 8, 2025
Status: Active
Subpart: Yes of Contra Costa County

Other names

Martinez 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 1114806627

Contra Costa County's National Provider Identifier is 1114806627, issued on Aug 28, 2025. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Martinez, CA. The record was last updated on Oct 8, 2025.