CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION (NPI# 1053690982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053690982 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION |
| Practice Address |
1600 California Dr Vacaville CA 95696 |
| Mailing Address |
1600 California Dr. Vacaville CA 95696 |
| Practice Telephone | 7074486841 |
| Mailing Telephone | 7074486841 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |
| Authorized Official Name | DR. JOSEPH BICK (CHIEF MEDICAL EXECUTIVE) |
| Authorized Official Telephone | 7074496576 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | A91928 | CA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891118220 | California Department of Corrections and Rehabilitation | Clinic/Center | Highway One, San Luis Obispo, CA 93406-0144 | 2014-01-21 |
| 1891030615 | California Department of Corrections and Rehabilitation | Psychologist | 3000 West Cecil Avenue, Delano, CA 93216-6000 | 2012-12-05 |
| Street Address |
1600 CALIFORNIA DR |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164497046 | Mary M. Zhu | General Practice | 1600 California Dr, Vacaville, CA 95687 | 2006-02-22 |
| 1164960910 | Levon Vang | Pharmacist | 1600 California Dr, Vacaville, CA 95696 | 2017-02-01 |
| 1124574348 | Bailey Ellen Glaves | Psychologist | 1600 California Dr, Vacaville, CA 95687 | 2016-08-28 |
| 1790132264 | Samantha Lynn Meyer | Counselor | 1600 California Dr, Vacaville, CA 95696 | 2016-05-15 |
| 1962844068 | Theresa Gail Solomon | Social Worker | 1600 California Dr, Vacaville, CA 95696 | 2013-07-18 |
| 1174961957 | Jennifer S Lucas | Social Worker | 1600 California Dr, Vacaville, CA 95687 | 2013-06-13 |
| 1487092912 | Michael Vincent Ponce | Social Worker | 1600 California Dr, Vacaville, CA 95687 | 2013-06-06 |
| 1487992921 | Sam Cooc | Social Worker | 1600 California Dr, Vacaville, CA 95696 | 2013-01-17 |
| 1457606428 | John N. Roberts | Psychologist | 1600 California Dr, Vacaville, CA 95696 | 2012-07-17 |
| 1790056919 | Candice Joy-silverio Suratos | Pharmacist | 1600 California Dr, Vacaville, CA 95696 | 2012-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778673 | Deepak Mehta | Internal Medicine | C/o Medical Staff Office, Cmf, Vacaville, CA 95696 | 2020-10-21 |
| 1780838755 | Susanne Gallo | Psychologist | 1600 Californa Dr., Vacaville, CA 95696 | 2008-11-04 |
| 1265415012 | Asha Mahendra Gandhi | Psychiatry & Neurology | 1600 California Drive, Dept. of Mental Health, Dept. of Corrections, Vacaville, CA 95696 | 2005-11-25 |
| 1619502432 | Corrections and Rehabilitation | Pharmacy | 1600 California Drive, Vacaville, CA 95696 | 2020-03-12 |
| 1407393671 | Albert Vasquez | Social Worker | 1600 California Drive, Vacaville, CA 95696 | 2017-01-26 |
| 1477900645 | Christopher Padalinski | Psychologist | 1600 California Drive, Vacaville, CA 95696 | 2016-05-18 |
| 1194126938 | Lesley Sohyun Tiffany-brown | Social Worker | 1600 California Dr., Vacaville, CA 95696 | 2014-09-11 |
| 1326454828 | Michael Jay Ryan | Psychologist | 1600 California Drive, Vacaville, CA 95696 | 2014-07-03 |
| 1669888301 | Brenna Rizan | Social Worker | 1600 California Drive, Vacaville, CA 95696 | 2014-07-02 |
| 1396150470 | David Schuh | Pharmacist | 2100 Peabody Road, Csp-solano/department of Pharmacy, Vacaville, CA 95696 | 2014-06-26 |
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| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336162775 | Nadhan Inc. | Skilled Nursing Facility | 101 S Orchard Ave, Vacaville, CA 95688-3635 | 2006-07-26 |
| 1114914355 | Vacaville Healthcare Inc | Skilled Nursing Facility | 585 Nut Tree Ct, Vacaville, CA 95687-3353 | 2005-10-03 |
| 1568845840 | Colleen Cox | Skilled Nursing Facility | 585 Nut Tree Ct, Vacaville, CA 95687-3353 | 2015-07-03 |
| 1285910729 | State of California | Skilled Nursing Facility | 1600 California Drive, Vacaville, CA 95687 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1528667581 | Winterfest Medical Services Corporation | Skilled Nursing Facility | 8758 Winterfest Way, Elk Grove, CA 95624-1295 | 2020-10-21 |
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.