STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES (NPI# 1841241130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841241130 |
| Entity Type | Organization |
| Organization Name | STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES |
| Other Organization Name | SIERRA VISTA COMMUNITY FACILITY |
| Practice Address |
1251 Stabler Ln Yuba City CA 95993-2616 |
| Mailing Address |
Po Box 944202 1600 9th Street Sacramento CA 94244-2020 |
| Practice Telephone | 5308227000 |
| Practice Fax Number | 5308223289 |
| Mailing Telephone | 9166542431 |
| Mailing Fax Number | 9166543186 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2009-01-06 |
| Authorized Official Name | MS. KATHY KINSER (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 9166541963 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 150000488 | CA | Nursing & Custodial Care Facilities |
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | 150000488 | CA | Nursing & Custodial Care Facilities |
| N | 333600000X | Pharmacy | 150000488 | CA | Suppliers |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150000488 | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Sierra Vista Community Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730130071 | State of California - Department of Developmental Services | General Acute Care Hospital | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2006-05-12 |
| 1730130097 | State of California - Department of Developmental Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69696 Ramon Rd, Cathedral City, CA 92234-3353 | 2006-05-12 |
| 1225089592 | State of California - Department of Developmental Services | Long Term Care Hospital | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-05-12 |
| 1588615835 | State of California - Department of Developmental Services | Long Term Care Hospital | 26501 Avenue 140, Porterville, CA 93257-9109 | 2006-05-12 |
| 1154372498 | State of California - Department of Developmental Services | Nursing Facility/Intermediate Care Facility | 3530 Pomona Blvd, Pomona, CA 91768-3238 | 2006-05-12 |
| 1093085565 | State of California - Department of Developmental Services | Clinic/Center | 3530 W Pomona Blvd, Pomona, CA 91768-3238 | 2011-12-30 |
| 1982990206 | State of California - Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | 26501 Avenue 140, Porterville, CA 93257-9109 | 2011-06-24 |
| 1851344220 | State of California - Department of Developmental Services | Long Term Care Hospital | 15000 Arnold Drive, Eldridge, CA 95431-1493 | 2006-05-18 |
| Street Address |
1251 STABLER LN |
| City | YUBA CITY |
| State | CA |
| Zip Code | 95993-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022085 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 1251 Stabler Ln, Yuba City, CA 95993-2616 | 2020-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769957 | North Valley Behavioral Health, LLC | Psychiatric Hospital | 1253 Stabler Lane, Yuba City, CA 95993 | 2020-08-10 |
| 1295213296 | Peach Tree Healthcare | Dentist | 1275 Tharp Rd., Yuba City, CA 95993 | 2018-08-01 |
| 1881182509 | Michele Blake | Health Educator | 1531-a Butte House Road, Yuba City, CA 95993 | 2018-04-27 |
| 1295239127 | Restore Medical, Inc. | Prosthetic/Orthotic Supplier | 475 Century Park Dr. Suite A, Yuba City, CA 95993 | 2018-03-23 |
| 1386160489 | Raveena Bains | Student in an Organized Health Care Education/Training Program | 1500 S Avenue K, Station 3 Shroc, Portales, NM 95993 | 2017-08-21 |
| 1811412588 | Julie Price | Health Educator | 1531 Butte House Road, Suite A, Yuba City, CA 95993 | 2017-08-03 |
| 1871973289 | Harbans Kaur Gill | Obstetrics & Gynecology | 1532 Chandler Way, Yuba City, CA 95993 | 2015-06-02 |
| 1942619374 | Jacob Ray Anderson | Physical Therapist | 1110 Civic Center Blvd Ste. 502, Yuba City, CA 95993 | 2014-08-11 |
| 1912243791 | Sayuli S Wong | Psychologist | 1585 Butte House Rd., Suite C, Yuba City, CA 95993 | 2012-12-22 |
| 1831459072 | Wilbur Frank Armbrust | Obstetrics & Gynecology | 428 Laramada, Yuba City, CA 95993 | 2012-05-22 |
| Find all providers in zip 95993 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589959 | Mcnamar Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2743 Lowell Dr, Chico, CA 95973-7216 | 2020-08-18 |
| 1386277747 | Trilogy Healthcare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1989 Edgeview Dr, San Jose, CA 95122-4020 | 2020-02-13 |
| 1093257545 | Casa Edithafoundation Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1756 N Hill Ave, Pasadena, CA 91104-1429 | 2016-11-15 |
| 1336696046 | Mj Asset Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1315 W Merced Ave, West Covina, CA 91790-3904 | 2016-09-10 |
| 1639571599 | New Providence Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5167 G St, Chino, CA 91710-5143 | 2014-09-23 |
| 1427459700 | Good Samaritan Special Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 42612 35th St W, Lancaster, CA 93536-4105 | 2014-09-05 |
| 1699107581 | Arnon LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8410 Springford Dr, Sun Valley, CA 91352-3648 | 2013-08-02 |
| 1790126423 | Contemporary Behavior Consultants, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8032 E Bynum St, Long Beach, CA 90808-3231 | 2013-07-10 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1073868279 | Arnon LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8410 Springford Drive, Sun Valley, CA 91352-3648 | 2012-07-13 |
| 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.