DEPARTMENT OF HEALTH SERVICES (NPI# 1255386603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255386603 |
Entity Type | Organization |
Organization Name | DEPARTMENT OF HEALTH SERVICES |
Practice Address |
850 Marina Bay Pkwy Vrdl Richmond CA 94804-6403 |
Practice Telephone | 5103078575 |
Practice Fax Number | 5103078601 |
Mailing Telephone | 5103078575 |
Mailing Fax Number | 5103078601 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | HAYNES W SHEPPARD (RESEARCH SCIENTIST SECTION CHIEF) |
Authorized Official Telephone | 5103078538 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LAB43850F | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295167070 | Department of Health Services | Clinic/Center | 810 Grove St, Sonoma, CA 95476-5328 | 2013-08-05 |
1255547600 | Department of Health Services | Clinic/Center | 415 Humboldt St, Santa Rosa, CA 95404-4214 | 2007-05-15 |
1376757989 | Department of Health Services | Clinic/Center | 7425 Rancho Los Guilicos Rd, Santa Rosa, CA 95409-6519 | 2007-05-10 |
1407068992 | Department of Health Services | Clinic/Center | 617 W 9th St, Santa Rosa, CA 95401-5438 | 2007-05-04 |
1639207103 | Department of Health Services | Clinic/Center | 3400 Chanate Rd, Santa Rosa, CA 95404-1710 | 2007-02-28 |
1205980547 | Department of Health Services | Clinic/Center | 415 Riley Street, Santa Rosa, CA 95404 | 2007-01-23 |
1841344181 | Department of Health Services | Substance Abuse Rehabilitation Facility | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2007-01-23 |
1114071453 | Department of Health Services | Clinic/Center | 155 N. Pythian Road, Santa Rosa, CA 95409 | 2007-01-23 |
1376696914 | Department of Health Services | Clinic/Center | 2665a Dutton Mdw, Santa Rosa, CA 95407-7730 | 2007-01-18 |
1043668023 | Department of Health Services | Clinic/Center | 450 Bauchet St, Msb ----room E873, Los Angeles, CA 90012-2907 | 2016-05-31 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DEPARTMENT OF HEALTH SERVICES | 50 Douglas Dr Ste 310a, Martinez, CA 94553-4003 |
System for Award Management (SAM) Entities | DEPARTMENT OF HEALTH SERVICES/CLINICS | 4600 Broadway Ste 2500, Sacramento, CA 95820-1527 |
Street Address |
850 MARINA BAY PKWY VRDL |
City | RICHMOND |
State | CA |
Zip Code | 94804-6403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831167378 | Ina Una Park | Family Medicine | 850 Marina Bay Pkwy, Building P, 2nd Floor, Richmond, CA 94804-6403 | 2006-03-10 |
1912273335 | Duc Jackson Vugia | Preventive Medicine | 850 Marina Bay Pkwy, Building P, 2nd Floor, Richmond, CA 94804-6403 | 2012-03-29 |
1720374192 | Carrie Regnolds Jones | Preventive Medicine | 850 Marina Bay Pkwy, Bldg.p, Third Floor, Richmond, CA 94804 | 2011-06-23 |
1891001129 | Geroge Robert Schechter | Pediatrics | 850 Marina Bay Pkwy, Building P P-2321, Richmond, CA 94804-6403 | 2010-08-24 |
1225293111 | Pennan Barry | Internal Medicine | 850 Marina Bay Pkwy, Bldg P, Second Floor, Richmond, CA 94804-6403 | 2008-07-21 |
1396918280 | Teeb Al-samarrai | Internal Medicine | 850 Marina Bay Pkwy, Bldg P, Flr 2, Richmond, CA 94804-6403 | 2008-04-11 |
1457567489 | James Patrick Watt | Pediatrics | 850 Marina Bay Pkwy, Building P, Richmond, CA 94804-6403 | 2007-05-15 |
1588712020 | Genetic Disease Screening Program, State of Ca | Public Health or Welfare | 850 Marina Bay Pkwy, Suite G-265, Mail Stop 8201, Richmond, CA 94804-6403 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
Find all providers in zip 94804 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477174472 | Astyra Corporation | Public Health or Welfare | 411 E Franklin St Ste 105, Richmond, VA 23219-2243 | 2020-04-30 |
1831327329 | Ajs Ministries Int'l Inc | Public Health or Welfare | 3121 Stone Dale Ct, Richmond, VA 23223-2651 | 2009-06-23 |
1346477650 | Madison County Health Department | Public Health or Welfare | 1428 Dr. Robert R. Martin Bypass, Richmond, KY 40475 | 2009-06-12 |
1184879090 | Madison County Health Department | Public Health or Welfare | 301 Bellevue Dr., Richmond, KY 40475-1261 | 2008-11-19 |
1326221714 | Madison County Health Department | Public Health or Welfare | 644 Kirksville Road, Richmond, KY 40475 | 2007-12-10 |
1396928867 | Madison County Health Department | Public Health or Welfare | 300 Bond St, Richmond, KY 40475-2588 | 2007-12-07 |
1821271396 | Madison County Health Department | Public Health or Welfare | 101 Summit St, Richmond, KY 40475-2129 | 2007-12-07 |
1306029871 | Madison County Health Department | Public Health or Welfare | 1143 Berea Rd., Richmond, KY 40475-7900 | 2007-12-07 |
1104009679 | Madison County Health Department | Public Health or Welfare | 2166 Lexington Rd, Richmond, KY 40475-7900 | 2007-12-07 |
1477736940 | Madison County Health Department | Public Health or Welfare | 450 Tates Creek Rd, Richmond, KY 40475-9426 | 2007-12-07 |
Find all providers in RICHMOND |
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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.