CHW MEDICAL FOUNDATION (NPI# 1154348860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154348860 |
| Entity Type | Organization |
| Organization Name | CHW MEDICAL FOUNDATION |
| Other Organization Name | WOODLAND CLINIC, A SERVICE OF CHW MEDICAL FOUNDATION |
| Practice Address |
1207 Fairchild Ct Woodland CA 95695-4321 |
| Practice Telephone | 5306695310 |
| Practice Fax Number | 5306610685 |
| Mailing Telephone | 5306695350 |
| Mailing Fax Number | 5306667255 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-09-12 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0013030 | 05 | |
| CA | GR0091675 | 05 | |
| FAIRCHILD - MEDI-CAL SP | 680260555 | 01 | |
| CA | FAIRCHILD COURT - BSCA | ZZZ52380Z | 01 |
| Other Name | Type Code |
|---|---|
| Woodland Clinic, 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 |
1207 FAIRCHILD CT |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831180975 | Karen T Hopp | Family Medicine | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2005-10-28 |
| 1619354339 | Jason Michael Lee | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2015-05-01 |
| 1710306659 | Jonathan D Funk | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695 | 2014-04-08 |
| 1629335427 | Amy Ruth Glick | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695 | 2012-04-18 |
| 1679898175 | Amy L. Ledgerwood | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2010-03-29 |
| 1558518464 | Sarah E Telles | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2008-08-21 |
| 1851550644 | Clara Cazares | Social Worker | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2008-06-05 |
| 1346432929 | Agnes Warhover | Physician Assistant | 1207 Fairchild Ct, Woodland, CA 95695 | 2007-08-16 |
| 1356553317 | Cong Zhang | Internal Medicine | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2007-05-04 |
| 1801955216 | Betty Lynn Mcnamara | Audiologist | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
| 1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
| 1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
| 1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
| 1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
| 1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
| 1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
| Find all providers in zip 95695 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1144497678 | Dignity Health Medical Foundation | Clinic/Center | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2008-05-14 |
| 1881711547 | Chw Medical Foundation | Clinic/Center | 239 W Court St, Woodland, CA 95695-2900 | 2007-03-26 |
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| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
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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.