CALIFORNIA DEPARTMENT OF CORRECTIONS &REHABILITATION (NPI# 1073710398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073710398 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA DEPARTMENT OF CORRECTIONS &REHABILITATION |
| Practice Address |
21633 Avenue 24 Chowchilla CA 93610-0099 |
| Practice Telephone | 5596656100 |
| Mailing Telephone | 5596656100 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2009-02-05 |
| Authorized Official Name | MS. BARBARA L. WOODWARD (NURSE PRACTITIONER) |
| Authorized Official Telephone | 5596656100 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
RN#452501 N.P.#8 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE ID # | 8004039 | 01 |
| Street Address |
21633 AVENUE 24 |
| City | CHOWCHILLA |
| State | CA |
| Zip Code | 93610-0099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811044498 | Patricia Gomez | Counselor | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2007-01-04 |
| 1205486602 | Eleanor Grace Odermatt | Social Worker | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2019-09-17 |
| 1740751403 | Andrea Puente | Social Worker | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2018-12-06 |
| 1730606369 | Elizabeth Ann Kus | Psychologist | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2017-08-24 |
| 1548787187 | Anna Paulina Hornberger | Psychologist | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2017-08-24 |
| 1023539475 | Casey Zack | Clinical Neuropsychologist | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2017-07-06 |
| 1164952537 | Maiteng Lor | Student in an Organized Health Care Education/Training Program | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2017-06-18 |
| 1912430919 | Bonnie Aguiar | Social Worker | 21633 Avenue 24, A Yard Program Office, Chowchilla, CA 93610-9650 | 2017-04-06 |
| 1558811265 | Laura Orozco | Social Worker | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2016-10-05 |
| 1689050890 | Melanie Yee | Pharmacist | 21633 Avenue 24, Chowchilla, CA 93610-9650 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598199150 | Hazel Rose Castro | Social Worker | 14285 Spyglass Circle, Chowchilla, CA 93610 | 2013-08-30 |
| 1225306293 | Melissa A Kuhno | Registered Nurse | 513 Plum Ct, Chowchilla, CA 93610 | 2011-12-06 |
| 1356592307 | Danilo D. Ching | Psychiatry & Neurology | 7335 Edgewater St, Chowchilla, CA 93610 | 2008-10-08 |
| 1407055783 | Central California Health | Assisted Living Facility | 160 South 13th Street, Chowchilla, CA 93610 | 2007-07-16 |
| 1306045059 | Shalon Denise Nash | Internal Medicine | 21633 Ave. 24, Chowchilla, CA 93610 | 2007-07-13 |
| 1235336710 | Pal Singh Virk | Internal Medicine | Valley State Prison for Women, 21633 Avenue 24, Chowchilla, CA 93610 | 2007-06-28 |
| 1003925439 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 48 Robertson Blvd, County Wood Plaza, Chowchilla, CA 93610 | 2006-08-30 |
| 1235164898 | Nicholas Eugene Nomicos | General Practice | 101 N Front St Ste B, Chowchilla, CA 93610 | 2006-07-12 |
| 1366077166 | Corrections and Rehabilitation | Pharmacy | 23370 Road 22, Chowchilla, CA 93610 | 2020-03-12 |
| 1659805455 | Laura Choi | Pharmacist | 23370 Road 22, Chowchilla, CA 93610 | 2017-04-18 |
| Find all providers in zip 93610 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013314046 | Family Healthcare of Chowchilla | Clinic/Center | 1300 Robertson Blvd, Chowchilla, CA 93610-2633 | 2014-11-19 |
| 1598183238 | Amritpal Pannu, Md | Clinic/Center | 129 N 5th St, Chowchilla, CA 93610-2820 | 2014-03-31 |
| 1720286750 | Madera Community Hospital | Clinic/Center | 285 Hospital Dr, Chowchilla, CA 93610-2041 | 2007-07-11 |
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|---|---|---|---|---|
| 1821699620 | Reedley Community Hospital | Clinic/Center | 398 S Church Road, Earlimart, CA 93219 | 2020-11-06 |
| 1174130942 | Kaweah Delta Health Care District | Clinic/Center | 1000 N Mooney Blvd, Tulare, CA 93274-2417 | 2020-09-25 |
| 1922614197 | Sierra View Local Health Care District | Clinic/Center | 9520 Road 238, Terra Bella, CA 93270 | 2020-09-22 |
| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | CHOWCHILLA |
| Zip Code | 93610 |
Please comment or provide details below to improve the information on CALIFORNIA DEPARTMENT OF CORRECTIONS &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.