Organization · Type 2 NPI

Contra Costa County

State or Local Public Health Clinic/Center · Concord, CA

NPI number 1336214642 Active

Practice location

1860 Silverwood Dr
Concord, CA 94519-1351

Call (925) 646-5733 Map

Mailing address

50 Douglas Dr Ste 310
Martinez, CA 94553-4003

Specialties and licenses

Taxonomy	Code	License
State or Local Public Health Clinic/Center Primary	261QP0905X	None listed

State or Local Public Health Clinic/Center: Definition to come...

Another provider at this address

Melissa Paige Woo, PTPhysical Therapist Concord, CA NPI 1255210621

NPI record

NPI: 1336214642
Entity type: Organization (Type 2)
Issued: Nov 21, 2006
Last updated: Oct 14, 2025
Status: Active
Subpart: Yes of Contra Costa County

Other names

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Shadelands Medical Therapy Unit · 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 1336214642

Contra Costa County's National Provider Identifier is 1336214642, issued on Nov 21, 2006. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Concord, CA. The record was last updated on Oct 14, 2025.