COUNTY OF TEHAMA (NPI# 1053839936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053839936 |
Entity Type | Organization |
Organization Name | COUNTY OF TEHAMA |
Other Organization Name | TEHAMA COUNTY HEALTH SERVICES AGENCY - MH CLINIC |
Practice Address |
1850 Walnut St Red Bluff CA 96080-3611 |
Mailing Address |
Po Box 400 Red Bluff CA 96080-0400 |
Practice Telephone | 5305270350 |
Enumeration Date | 2017-08-31 |
Last Update Date | 2018-06-16 |
Authorized Official Name | FRANCINE MAGEE (ACCOUNTANT) |
Authorized Official Telephone | 5305283269 |
Is Organization Subpart | Y |
Parent Organization Name | COUNTY OF TEHAMA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Tehama County Health Services Agency | Doing Business As Name - Organization |
Tehama County Health Services Agency - MH Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730359944 | County of Tehama | Clinic/Center | 1860 Walnut St, Suite C, Red Bluff, CA 96080-3611 | 2008-03-04 |
1043427388 | County of Tehama | Clinic/Center | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2007-05-17 |
Street Address |
1850 WALNUT ST |
City | RED BLUFF |
State | CA |
Zip Code | 96080-3611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306842232 | Jon Daniel Malan | Family Medicine | 1850 Walnut St, Red Bluff, CA 96080 | 2005-06-24 |
1851901714 | Nancy Bustos-gutierrez | Behavior Technician | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2020-08-05 |
1912515933 | Lauren Kongkeoviman | Licensed Vocational Nurse | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2020-07-15 |
1114563921 | Alesha Rae Tafoya | Licensed Vocational Nurse | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2019-11-27 |
1285198424 | Giselle Carrillo | Case Manager/Care Coordinator | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2019-01-22 |
1821567579 | Lacy Elaine Hook | Nurse Practitioner | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2018-11-23 |
1134698301 | Maria R Peek Holbrook | Case Manager/Care Coordinator | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2018-11-17 |
1376023374 | Katherine N Fritchman | Marriage & Family Therapist | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2018-08-19 |
1457899031 | Debra Weaver | Registered Nurse | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2017-02-03 |
1679024509 | Adam Zuccato | Counselor | 1850 Walnut St, Suite G, Red Bluff, CA 96080-3611 | 2016-10-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
Find all providers in zip 96080 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750703997 | Tehama County Health Services Agency | Clinic/Center | 1740 Walnut St, Red Bluff, CA 96080-3667 | 2014-01-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
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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.