CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION (NPI# 1891030615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891030615 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION |
| Practice Address |
3000 West Cecil Avenue Delano CA 93216-6000 |
| Practice Telephone | 6617216300 |
| Mailing Telephone | 6617216300 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-20 |
| Authorized Official Name | DR. DIANA B. COUTO DA SILVA (PSYCHOLOGIST) |
| Authorized Official Telephone | 6617216300 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
PSY22715 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891118220 | California Department of Corrections and Rehabilitation | Clinic/Center | Highway One, San Luis Obispo, CA 93406-0144 | 2014-01-21 |
| 1053690982 | California Department of Corrections and Rehabilitation | Skilled Nursing Facility | 1600 California Dr, Vacaville, CA 95696 | 2011-08-09 |
| Street Address |
3000 WEST CECIL AVENUE |
| City | DELANO |
| State | CA |
| Zip Code | 93216-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215971007 | Sandra Lee Schaefer | Emergency Medicine | 3000 West Cecil Avenue, Delano, CA 93215 | 2006-06-15 |
| 1114473907 | Chisa Johnson | Psychologist | 3000 West Cecil Avenue, Delano, CA 93216 | 2016-08-31 |
| 1437495314 | Dina Khoury | Psychologist | 3000 West Cecil Avenue, Delano, CA 93216-6000 | 2012-12-20 |
| 1255638896 | Andrew Elms | Dentist | 3000 West Cecil Avenue, Kern Valley State Prison, Delano, CA 93216-6000 | 2011-02-17 |
| 1003085143 | Kristin Kyle | Social Worker | 3000 West Cecil Avenue, Delano, CA 93215 | 2008-02-22 |
| 1184808958 | James A. Smith | Dentist | 3000 West Cecil Avenue, Delano, CA 93216-6000 | 2007-12-28 |
| 1730279258 | Eric Charles Lanes | Psychologist | 3000 West Cecil Avenue, Delano, CA 93216 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396930061 | Fred Lopez | Dentist | 2737 W. Cecil Ave, Delano, CA 93216 | 2007-09-06 |
| 1134314800 | Stanley Michael Godges | Dentist | 2737 W. Cecil Avenue, Delano, CA 93216 | 2007-09-06 |
| 1699969378 | Phu Vinh Truong | Dentist | 2737 W. Cecil, Delano, CA 93216 | 2007-09-05 |
| 1912191594 | Anil K Gupta | Internal Medicine | 2737 W Cecil Ave, Delano, CA 93216 | 2007-08-28 |
| 1245653906 | Heather Farris | Psychologist | 2737 W. Cecil Ave, Delano, CA 93216 | 2014-01-30 |
| 1518239086 | William H Gallienne IIi | Psychologist | 3000 W. Cecil Ave., Delano, CA 93216 | 2012-01-31 |
| 1225306616 | Phillip Chesney Sloan | Psychologist | 3000 Cecil Ave, Delano, CA 93216 | 2011-12-13 |
| 1518135011 | Meghan A Hamill | Psychologist | 2737 West Cecil Ave, Delano, CA 93216 | 2008-02-19 |
| 1215105119 | Dan Charles Yergensen | Psychologist | 2737 West Cecil Ave, Delano, CA 93216 | 2008-02-13 |
| 1932386976 | Bill Ho-liang Lee | Dentist | 2737 W. Cecil Ave, Delano, CA 93216 | 2008-01-22 |
| Find all providers in zip 93216 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114473907 | Chisa Johnson | Psychologist | 3000 West Cecil Avenue, Delano, CA 93216 | 2016-08-31 |
| 1972911162 | Jennie Hosey | Psychologist | 2737 West Cecil Avenue, Delano, CA 93215 | 2014-07-31 |
| 1437495314 | Dina Khoury | Psychologist | 3000 West Cecil Avenue, Delano, CA 93216-6000 | 2012-12-20 |
| 1568719789 | Heather Kristeen Stahl | Psychologist | 3000 Cecil Ave, Delano, CA 93215 | 2012-08-07 |
| 1306162235 | Martha Lucia Esquivel | Psychologist | 2737 W. Cecil Ave., Delano, CA 93215 | 2010-04-16 |
| 1669795035 | Megan Rose Holden | Psychologist | 2737 W. Cecil Ave., Delano, CA 93215 | 2010-03-12 |
| 1134442619 | Yamileth Fisher | Psychologist | 2737 W. Cecil Ave., Delano, CA 93215 | 2010-03-11 |
| 1285872663 | Jackie Mccoy-martin | Psychologist | 2737 W. Cecil Avenue, Delano, CA 93215 | 2009-01-23 |
| 1134367519 | Harold Reubin Hearshman Sr. | Psychologist | 2737 W. Cecil Ave., Delano, CA 93315 | 2009-01-23 |
| 1154585107 | Eric Vaughn Roth | Psychologist | 2737 W. Cecil Ave., Delano, CA 93215 | 2008-07-17 |
| Find all providers in DELANO | ||||
Please comment or provide details below to improve the information on CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION.
| 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.