DEPARTMENT OF HEALTH SERVICES


Address: 850 Marina Bay Pkwy, Vrdl, Richmond, CA 94804-6403
Phone: 5103078575

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA LAB43850F 05

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 850 MARINA BAY PKWY
VRDL
City RICHMOND
State CA
Zip Code 94804-6403

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City RICHMOND
Zip Code 94804

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Dataset Information

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.

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