MR. SAM COOC (NPI# 1487992921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487992921 |
| Entity Type | Individual |
| Full Name | MR. SAM COOC |
| Other Name | MR. SAM COOC |
| Practice Address |
1600 California Dr Vacaville CA 95696 |
| Mailing Address |
Po Box 2095 Elk Grove Elk Grove CA 95759-2095 |
| Practice Telephone | 7074496504 |
| Practice Fax Number | 7074537047 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| 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 |
| 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 |
| 1609147008 | Arlyn Quejado | Pharmacist | 1600 California Dr, Vacaville, CA 95687 | 2012-01-18 |
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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 |
| Find all providers in zip 95696 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019820 | Nancy Villalobos Fernandez | Social Worker | 179 Providence Pl, Vacaville, CA 95687-6757 | 2020-06-25 |
| 1366097495 | Denham Counseling Center Inc | Social Worker | 419 Elizabeth St Ste 5, Vacaville, CA 95688-4602 | 2019-08-06 |
| 1568993624 | Charlotte Renee Richardson | Social Worker | 1178 Woodridge Dr, Vacaville, CA 95687-6449 | 2017-03-21 |
| 1740651116 | Kelli Nance | Social Worker | 107 Sandalwood Dr, Vacaville, CA 95687-5239 | 2015-10-12 |
| 1891171419 | Cristina Rios-klein | Social Worker | 166 Oak Creek Ct, Vacaville, CA 95687-5200 | 2015-08-05 |
| 1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
| 1265706857 | Liliana C Velasquez | Social Worker | 360 Woodside Cir, Vacaville, CA 95688-2106 | 2012-02-29 |
| 1457622177 | Jaleen Tomy | Social Worker | 400 Boyd St, Vacaville, CA 95688-4522 | 2012-01-26 |
| 1669785739 | Sharman Loredo | Social Worker | 40 Eldridge Ave Ste 9c, Vacaville, CA 95688-6823 | 2010-07-19 |
| 1245384205 | Kathryn Mary Hughes | Social Worker | 3700 Vacavalley Parkway, Kaiser Vacaville Dept of Psychiatry, Vacaville, CA 94548 | 2007-01-23 |
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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.