Healthcare Provider Details

I. General information

NPI: 1275143976
Provider Name (Legal Business Name): RUBIE MALTBIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 CLAYTON RD
CONCORD CA
94519-2819
US

IV. Provider business mailing address

3200 CLAYTON RD
CONCORD CA
94519-2819
US

V. Phone/Fax

Practice location:
  • Phone: 925-229-5400
  • Fax:
Mailing address:
  • Phone: 925-229-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: