NORTHBAY HEALTHCARE GROUP (NPI# 1760534713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760534713 |
| Entity Type | Organization |
| Organization Name | NORTHBAY HEALTHCARE GROUP |
| Other Organization Name | NORTHBAY VACAVALLEY HOSPITAL |
| Practice Address |
1000 Nut Tree Rd Vacaville CA 95687-4100 |
| Practice Telephone | 7076463401 |
| Practice Fax Number | 7076464803 |
| Mailing Telephone | 7076463401 |
| Mailing Fax Number | 7076464803 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | LORI EICHENBERGER (SENIOR DIRECTOR, REVENUE CYCLE MGMT) |
| Authorized Official Telephone | 7076463400 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHBAY HEALTHCARE GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 110000093 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0093240 | 05 | |
| CA | DHS LICENSE | 110000093 | 01 |
| CA | MEDI-CAL PHYSICIAN GROUP | GR0093240 | 01 |
| Other Name | Type Code |
|---|---|
| NorthBay VacaValley Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225363757 | Northbay Healthcare Group | Clinic/Center | 1793 Northwood Ct, Oakland, CA 94611-1167 | 2009-10-16 |
| 1821147786 | Northbay Healthcare Group | General Acute Care Hospital | 4500 Business Center Dr, Patient Financial Services, Fairfield, CA 94534-6888 | 2007-01-09 |
| 1720070071 | Northbay Healthcare Group | Hospice Care, Community Based | 4520 Business Center Drive, Suite 160, Fairfield, CA 94534-6888 | 2005-08-22 |
| 1558891325 | Northbay Healthcare Group | Pharmacy | 1020 Nut Tree Rd, Vacaville, CA 95687-4100 | 2017-06-14 |
| 1104151844 | Northbay Healthcare Group | General Acute Care Hospital | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2009-10-14 |
| 1841525581 | Northbay Healthcare Group | General Acute Care Hospital | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2009-10-14 |
| 1780736736 | Northbay Healthcare Group | General Acute Care Hospital | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2007-01-18 |
| 1255483202 | Northbay Healthcare Group | General Acute Care Hospital | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2007-01-18 |
| 1356333793 | Northbay Healthcare Group | Home Health | 4520 Business Center Drive, Suite 160, Fairfield, CA 94534-6888 | 2005-08-22 |
| Street Address |
1000 NUT TREE RD |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95687-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558330563 | Fred Walton Parham | Internal Medicine | 1000 Nut Tree Rd, Vacaville, CA 95687 | 2006-03-14 |
| 1568979300 | Tatum Mackenzie Urrutia | Pharmacist | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2018-01-02 |
| 1023553062 | Hy Long Ton | Pharmacist | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2016-12-29 |
| 1043681059 | Adrienne Angeles | Occupational Therapist | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2015-10-16 |
| 1275965295 | Megan Rodriguez Canova | Nurse Practitioner | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2013-08-01 |
| 1104151844 | Northbay Healthcare Group | General Acute Care Hospital | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2009-10-14 |
| 1255483202 | Northbay Healthcare Group | General Acute Care Hospital | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2007-01-18 |
| 1841218112 | Phil Chase | Emergency Medicine | 1000 Nut Tree Rd, Vacavalley Hospital, Vacaville, CA 95687-4100 | 2006-07-17 |
| 1508818774 | Emergency and Acute Care Medical Corporation | Emergency Medicine | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311815 | Azul Center for Integration | Community/Behavioral Health | 186 Isle Royal Circle, Vacaville, CA 95687 | 2020-09-16 |
| 1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
| 1972165249 | Jean Callaghan-hoskins | Behavior Technician | 614 Harvard Ave, Vacaville, CA 95687 | 2019-07-08 |
| 1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
| 1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
| 1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
| 1467715177 | Patrick Fisher | Urology | 770 Mason Sst, Vacaville, CA 95687 | 2012-06-18 |
| 1285991968 | Tshering Wangmo Bhutia | Psychiatry & Neurology | 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 | 2012-04-18 |
| 1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
| 1346527074 | Jason Michael Vojkufka | Physical Therapist | 585 Nut Tree Court, Vacaville, CA 95687 | 2011-11-09 |
| Find all providers in zip 95687 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124497110 | Donovan Shields | General Acute Care Hospital | 1 Quality Dr, Vacaville, CA 95688-9494 | 2015-09-19 |
| 1912263146 | Steve Do | General Acute Care Hospital | 1 Quality Dr, Vacaville, CA 95688-9494 | 2012-04-02 |
| 1104151844 | Northbay Healthcare Group | General Acute Care Hospital | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2009-10-14 |
| 1710116116 | Kaiser Foundation Hospitals | General Acute Care Hospital | 1 Quality Dr, Vacaville, CA 95688-9494 | 2009-07-07 |
| 1255483202 | Northbay Healthcare Group | General Acute Care Hospital | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2007-01-18 |
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| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
| 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.