MENDOCINO COUNTY (NPI# 1275941676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275941676 |
Entity Type | Organization |
Organization Name | MENDOCINO COUNTY |
Other Organization Name | COUNTY OF MENDOCINO HEALTH & HUMAN SERVICES PUBLIC HEALTH BRANCH |
Practice Address |
1120 S Dora St Ukiah CA 95482-6340 |
Practice Telephone | 7074722730 |
Practice Fax Number | 7074722735 |
Mailing Telephone | 7074722730 |
Mailing Fax Number | 7074722735 |
Enumeration Date | 2014-07-29 |
Last Update Date | 2014-07-29 |
Authorized Official Name | SHARON CONVERY (DEPUTY DIRECTOR OF NURSING) |
Authorized Official Telephone | 7074722707 |
Authorized Official Credential | PHN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | 36SC1501X | CA | Agencies |
Other Name | Type Code |
---|---|
County of Mendocino Health & Human Services Public Health Branch | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629107735 | Mendocino County | Clinic/Center | 474 East Valley Street, Willits, CA 95490 | 2007-03-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MENDOCINO COUNTY DISTRICT ATTORNEY | 100 N State St Rm 10, Ukiah, CA 95482-4416 |
System for Award Management (SAM) Entities | MENDOCINO COUNTY HEALTH AND HUMAN SERVICES AGENCY | 737 South State Street, Ukiah, CA 95482-5815 |
System for Award Management (SAM) Entities | MENDOCINO COUNTY LIBRARY | 105 N Main St, Ukiah, CA 95482-4403 |
System for Award Management (SAM) Entities | MENDOCINO COUNTY OFFICE OF EDUCATION | 2240 Old River Rd, Ukiah, CA 95482-6103 |
System for Award Management (SAM) Entities | MENDOCINO COUNTY RESOURCE CONSERVATION DISTRICT | 410 Jones St Ste C3, Ukiah, CA 95482-5491 |
System for Award Management (SAM) Entities | MENDOCINO COUNTY YOUTH PROJECT | 776 S State St Ste 107, Ukiah, CA 95482-5858 |
Street Address |
1120 S DORA ST |
City | UKIAH |
State | CA |
Zip Code | 95482-6340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811005440 | Carol Lynne Kelsey | Nurse Practitioner | 1120 S Dora St, Ukiah, CA 95482-6340 | 2006-08-25 |
1306471230 | Luz Maria Machado Cramer | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2020-03-11 |
1265073977 | Melinda Joann-holt Driggers | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-10-03 |
1437708450 | Paul Murguia IIi | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-09-11 |
1548822851 | Jessica Toste | Licensed Vocational Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-07-08 |
1063985398 | Mimi Whittaker | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-01-09 |
1801368527 | Khadananda Bhandari | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-12-19 |
1053899203 | Chiah Jasmine Cassells | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-07-31 |
1285110437 | Natalie Levchenko | Registered Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-07-11 |
1093206153 | Sharon Convery | Registered Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-05-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
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Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114134525 | Mendocino County Mental Health | Public Health or Welfare | 580 Washo Dr, Ukiah, CA 95482-5154 | 2007-05-16 |
1649468968 | County of Mendocino | Public Health or Welfare | 518 Low Gap Rd, Ukiah, CA 95482-3735 | 2007-10-11 |
1437296282 | County of Mendocino | Public Health or Welfare | 1120 S Dora St, Ukiah, CA 95482-6340 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003429390 | The Health Trust | Public Health or Welfare | 46 Race St, San Jose, CA 95126-3130 | 2020-08-26 |
1396365003 | Hr Support Inc | Public Health or Welfare | 6143 Mount Diablo Ct, Castro Valley, CA 94552-1948 | 2020-04-22 |
1811516610 | Fabian Sanchez | Public Health or Welfare | 1940 Nice Dr Apt 106, Corona, CA 92882-4584 | 2020-04-11 |
1528695319 | Central Coast Veterans Associates LLC | Public Health or Welfare | 1890 Diablo Drive, San Luis Obispo, CA 93405-4762 | 2020-03-24 |
1548893654 | Transitional Nutrition LLC | Public Health or Welfare | 741 Jackson St, Albany, CA 94706-1134 | 2020-02-17 |
1639723760 | Matthew Schultzel Do and Douglas Sullivan PC | Public Health or Welfare | 477 N El Camino Real Ste A308, Encinitas, CA 92024-1350 | 2019-07-26 |
1760048086 | Info Line of San Diego | Public Health or Welfare | 3860 Calle Fortunada Ste 101, San Diego, CA 92123-4802 | 2019-05-13 |
1629548615 | Mojo Enterprises Inc. | Public Health or Welfare | 1004 Emerson St, Palo Alto, CA 94301-2416 | 2018-12-03 |
1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
1215429188 | National Health Foundation | Public Health or Welfare | 515 S Figueroa St Ste 1300, Los Angeles, CA 90071-3300 | 2018-06-05 |
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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.