CALIFORNIA CORRECTIONAL HEALTH CARE SERVICES (NPI# 1548607393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548607393 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA CORRECTIONAL HEALTH CARE SERVICES |
| Practice Address |
8280 Long Leaf Drive Bldg D-172 Elk Grove CA 95758 |
| Mailing Address |
8280 Long Leaf Drive, Bldg D-172 Elk Grove CA 95758 |
| Practice Telephone | 9166916150 |
| Mailing Telephone | 9166916150 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | MR. JOHN REKART (CHIEF OF MENTAL HEALTH) |
| Authorized Official Telephone | 9166916150 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | A26603 | CA | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396169405 | California Correctional Health Care Services | Clinic/Center | 8280 Long Leaf Drive, D2-406, Elk Grove, CA 95758 | 2014-02-10 |
| Street Address |
8280 LONG LEAF DRIVE BLDG D-172 |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396169405 | California Correctional Health Care Services | Clinic/Center | 8280 Long Leaf Drive, D2-406, Elk Grove, CA 95758 | 2014-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
| Find all providers in zip 95758 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376190918 | Psychnp Consultants, Inc | Rehabilitation, Substance Use Disorder Unit | 8500 Crown Prince Ct, Elk Grove, CA 95624-1779 | 2019-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841766 | Los Angeles Centers for Alcohol and Drug Abuse | Rehabilitation, Substance Use Disorder Unit | 305 S Central Ave, Los Angeles, CA 90013-1709 | 2020-08-10 |
| 1760002299 | Avalon Outpatient Services | Rehabilitation, Substance Use Disorder Unit | 1547 N Avalon Blvd, Wilmington, CA 90744-1552 | 2020-04-24 |
| 1356960512 | Los Angeles Centers for Alcohol and Drug Abuse | Rehabilitation, Substance Use Disorder Unit | 8919 California Ave, South Gate, CA 90280-3013 | 2020-04-08 |
| 1144860073 | Starbridge Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 3943 Fredonia Dr, Los Angeles, CA 90068-1213 | 2020-01-08 |
| 1679126247 | Imperial County Behavioral Health Services | Rehabilitation, Substance Use Disorder Unit | 101 Hacienda Dr, Calexico, CA 92231-1889 | 2019-07-22 |
| 1831653617 | Journey Hillside Tarzana, LLC | Rehabilitation, Substance Use Disorder Unit | 4706 Viviana Dr, Tarzana, CA 91356-5039 | 2019-01-25 |
| 1205331709 | Recovery Corps Health Group, LLC | Rehabilitation, Substance Use Disorder Unit | 422 N Commonwealth Ave, Los Angeles, CA 90004-2301 | 2018-03-27 |
| 1124523618 | Recovery Corps, LLC | Rehabilitation, Substance Use Disorder Unit | 424 N Commonwealth Ave, Los Angeles, CA 90004-2301 | 2018-03-27 |
| 1063929602 | Recovery Corps, LLC | Rehabilitation, Substance Use Disorder Unit | 420 N Commonwealth Ave, Los Angeles, CA 90004-2301 | 2018-01-04 |
| 1720594716 | New Life Spirit, Inc. | Rehabilitation, Substance Use Disorder Unit | 727 Owen Dr # Abc, Huntington Beach, CA 92648-2588 | 2017-12-28 |
| Find all providers with the same taxonomy | ||||
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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.