CHW MEDICAL FOUNDATION (NPI# 1073647020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073647020 |
| Entity Type | Organization |
| Organization Name | CHW MEDICAL FOUNDATION |
| Other Organization Name | GERIATRIC NETWORK, A SERVICE OF CHW MEDICAL FOUNDATION |
| Practice Address |
1792 Tribute Rd Suite 350 Sacramento CA 95815-4305 |
| Practice Telephone | 9166482800 |
| Practice Fax Number | 9169277901 |
| Mailing Telephone | 9166482800 |
| Mailing Fax Number | 9169277901 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | TOM LOWRY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9163792833 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHW MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | COUNTY | 8430 | 01 |
| Other Name | Type Code |
|---|---|
| Geriatric Network, a Service of CHW Medical Foundation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093921009 | Chw Medical Foundation | Clinic/Center | 3066 Freeport Blvd, Sacramento, CA 95818-4349 | 2007-05-15 |
| 1366576308 | Chw Medical Foundation | Clinic/Center | 5709 Marconi Ave Ste A, Carmichael, CA 95608-4472 | 2007-03-14 |
| 1851691042 | Chw Medical Foundation | Clinic/Center | 1321 Cottonwood St, Woodland, CA 95695-5131 | 2010-10-22 |
| 1881994085 | Chw Medical Foundation | Clinic/Center | 515 Fairchild Ct, Woodland, CA 95695-5164 | 2010-10-22 |
| 1942430566 | Chw Medical Foundation | Clinic/Center | 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9636 | 2009-07-16 |
| 1922238542 | Chw Medical Foundation | Clinic/Center | 3427 Robin Ln, Suite 100, Cameron Park, CA 95682-7254 | 2009-07-16 |
| 1508096132 | Chw Medical Foundation | Clinic/Center | 3581 Palmer Dr, Suite 402, Cameron Park, CA 95682-8236 | 2009-07-16 |
| 1740429182 | Chw Medical Foundation | Clinic/Center | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2009-02-09 |
| 1881711547 | Chw Medical Foundation | Clinic/Center | 239 W Court St, Woodland, CA 95695-2900 | 2007-03-26 |
| 1386778165 | Chw Medical Foundation | Clinic/Center | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2007-03-15 |
| Street Address |
1792 TRIBUTE RD SUITE 350 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95815-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757686 | Jeffrey P Ruderman | Obstetrics & Gynecology | 1792 Tribute Rd, Suite 200, Sacramento, CA 95815-4305 | 2005-06-01 |
| 1962836254 | Teresa Brown | Dietitian, Registered | 1792 Tribute Rd, Suite 200, Sacramento, CA 95815-4305 | 2013-08-22 |
| 1598949430 | David C. Hsu | Psychiatry & Neurology | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-12-27 |
| 1942334339 | Dignity Health Medical Foundation | Clinic/Center | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-03-15 |
| 1053446385 | Howard B. Spivak | Counselor | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-02-23 |
| 1841337011 | Sacramento Maternal Fetal Medicine Medical Group, Inc. | Specialist | 1792 Tribute Rd, Suite 200, Sacramento, CA 95815-4305 | 2007-01-30 |
| 1982762787 | Theodore Hoffman | Psychiatry & Neurology | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2006-12-05 |
| 1770651622 | Meryl B. Rappaport | Social Worker | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2006-11-30 |
| 1144309543 | Patricia Coan Hanson | Social Worker | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2006-11-04 |
| 1881773281 | Bonnie Jacobson | Marriage & Family Therapist | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2006-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
| 1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
| 1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
| 1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
| 1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
| Find all providers in zip 95815 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578122776 | Tiowishonia Counseling Services | Clinic/Center | 2740 Fulton Ave Ste 118, Sacramento, CA 95821-5184 | 2019-06-11 |
| 1174015317 | Tlcs, Inc. | Clinic/Center | 650 Howe Ave # 400 B, Sacramento, CA 95825 | 2018-06-04 |
| 1396114104 | County of Sacramento | Clinic/Center | 1215 Del Paso Blvd, Sacramento, CA 95815-3608 | 2015-09-22 |
| 1942416854 | Ralph F Sett | Clinic/Center | 9825 Goethe Rd, Ste 200, Sacramento, CA 95827-3566 | 2007-05-15 |
| 1114054475 | Turning Point Community Programs - Psh | Clinic/Center | 3810 Rosin Ct Ste 180, Sacramento, CA 95834-1656 | 2007-02-27 |
| 1033285655 | County of Sacramento | Clinic/Center | 2700 Fulton Ave, Sacramento, CA 95821-5102 | 2006-11-27 |
| 1588730378 | County of Sacramento | Clinic/Center | 776 Revere St, Sacramento, CA 95818-2022 | 2006-11-26 |
| 1861566820 | Tlcs, Inc. | Clinic/Center | 650 Howe Ave Bldg 400-b, Sacramento, CA 95825 | 2006-11-20 |
| 1235201229 | Jewish Family Service of Sacramento | Clinic/Center | 2862 Arden Way, Suite 103, Sacramento, CA 95825-1389 | 2006-11-14 |
| 1548347925 | El Hogar Community Services, Inc. | Clinic/Center | 600 Bercut Dr, Sacramento, CA 95811-0131 | 2006-11-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95815 |
Please comment or provide details below to improve the information on CHW MEDICAL FOUNDATION.
| 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.