Healthcare Provider Details
I. General information
NPI: 1851692560
Provider Name (Legal Business Name): PLANNED PARENTHOOD SHASTA DIABLO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/11/2010
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1522 BUSH ST
SAN FRANCISCO CA
94109-5420
US
IV. Provider business mailing address
2185 PACHECO ST
CONCORD CA
94520-2309
US
V. Phone/Fax
- Phone: 415-821-1282
- Fax: 415-821-9047
- Phone: 925-676-0500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NICOLE
BARNETT
Title or Position: PRESIDENT & CEO
Credential:
Phone: 925-676-0505