Healthcare Provider Details

I. General information

NPI: 1881550747
Provider Name (Legal Business Name): ARI WARGON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4005 PORT CHICAGO HWY
CONCORD CA
94520-1180
US

IV. Provider business mailing address

4005 PORT CHICAGO HWY
CONCORD CA
94520-1180
US

V. Phone/Fax

Practice location:
  • Phone: 925-941-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP45321
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: