CALIFORNIA MEDICAL FACILITY (NPI# 1760536734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760536734 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA MEDICAL FACILITY |
| Practice Address |
1600 California Dr. Cmf, Ambulatory Care Clinic Vacaville CA 95696 |
| Mailing Address |
1600 California Dr. Po Box No. 2000 Vacaville CA 95696 |
| Practice Telephone | 7074486841 |
| Mailing Telephone | 7074486841 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DEEPAK MEHTA (PHYSICIAN AND SURGEON) |
| Authorized Official Telephone | 7074486841 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2400X |
Clinic/Center Specialization: Prison Health |
A0063312 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285704098 | California Medical Facility | Special Hospital | California Ave., Vacaville, CA 95696-2000 | 2006-11-09 |
| 1629200613 | California Medical Facility | Special Hospital | 1600 California Dr, 1600 California Dr., Vacaville, CA 95687 | 2009-08-10 |
| Street Address |
1600 CALIFORNIA DR. CMF, AMBULATORY CARE CLINIC |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700997145 | Gary Lewis Minor | Social Worker | 1600 California Dr., Vacaville, CA 95696-2000 | 2006-08-31 |
| 1437605797 | Daniel Munoz-santamaria | Psychologist | 1600 California Dr., Vacaville, CA 94534-2297 | 2016-08-28 |
| 1194126938 | Lesley Sohyun Tiffany-brown | Social Worker | 1600 California Dr., Vacaville, CA 95696 | 2014-09-11 |
| 1982038691 | Kaye Manding | Physical Therapist | 1600 California Dr., Vacaville, CA 95687 | 2013-08-29 |
| 1932448867 | Roy W. Johnson | Psychologist | 1600 California Dr., Vacaville, CA 95656-2000 | 2013-02-13 |
| 1821368960 | Bryan Son | Pharmacist | 1600 California Dr., Vacaville, CA 95696 | 2012-01-06 |
| 1811285356 | John Stephen Bugas | Psychologist | 1600 California Dr., Vacaville, CA 95696-2000 | 2011-07-19 |
| 1639467715 | Paula Ann Gregg | Psychologist | 1600 California Dr., Vacaville, CA 95687 | 2011-07-11 |
| 1649502220 | Dorothy C Pitkin | Social Worker | 1600 California Dr., California Medical Facility, Vacaville, CA 95687 | 2010-02-05 |
| 1346474921 | Ivan Rodrigo Kiryluk Putziger | Psychiatry & Neurology | 1600 California Dr., Vacaville, CA 95687 | 2009-05-11 |
| Find all providers in the same location | ||||
| 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 |
| 1164960910 | Levon Vang | Pharmacist | 1600 California Dr, Vacaville, CA 95696 | 2017-02-01 |
| 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 |
| 1790132264 | Samantha Lynn Meyer | Counselor | 1600 California Dr, Vacaville, CA 95696 | 2016-05-15 |
| 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 |
| Find all providers in zip 95696 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435631 | County of Sacramento | Clinic/Center | 651 I Street, Sacramento, CA 95814 | 2019-12-26 |
| 1801430418 | Federal Correctional Complex Lompoc | Clinic/Center | 3901 Klein Blvd, Lompoc, CA 93436-2706 | 2019-11-06 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1154621555 | American Correctional Solutions, Inc. | Clinic/Center | 1588 N Batavia St, Orange, CA 92867-3553 | 2010-11-01 |
| 1104033661 | Jail Health Services Pharmacy | Clinic/Center | 1 Moreland Drive Cj#5 Pharmacy, San Bruno, CA 94066-1670 | 2007-05-16 |
| 1598847519 | Jail Psych Services - Rccc | Clinic/Center | 12450 Bruceville Rd, Elk Grove, CA 95757-9784 | 2006-10-19 |
| 1780181222 | Department of State Hospital Coalinga | Clinic/Center | 24511 W Jayne Ave, Coalinga, CA 93210-9516 | 2018-04-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CALIFORNIA MEDICAL FACILITY.
| 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.