STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY (NPI# 1356558001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356558001 |
| Entity Type | Organization |
| Organization Name | STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY |
| Practice Address |
480 Alta Rd San Diego CA 92179-0001 |
| Mailing Address |
Po Box 127 Napa CA 94559-0127 |
| Practice Telephone | 6196616500 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EARL C. SHATZER (BRANCH MANAGER) |
| Authorized Official Telephone | 9163581721 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PIA000100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316908635 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 560 E Natoma St, Folsom, CA 95630-2233 | 2006-03-28 |
| 1518598952 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 23370 Road 22, Chowchilla, CA 93610-8504 | 2020-02-03 |
| 1659588739 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 5905 Lake Earl Drive, Crescent City, CA 95531 | 2007-05-17 |
| 1588871669 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 2100 Peabody Road, Vacaville, CA 95687 | 2007-05-17 |
| 1649487729 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 23370 Road 22, Chowchilla, CA 93610 | 2007-05-17 |
| Street Address |
480 ALTA RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92179-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760452874 | Ryan Anthony Barenchi | Family Medicine | 480 Alta Rd, San Diego, CA 92179-0001 | 2006-01-23 |
| 1700418878 | Nadia Hortencia Camarillo | Social Worker | 480 Alta Rd, San Diego, CA 92179-0001 | 2020-02-06 |
| 1083265367 | Essence Dawson | Social Worker | 480 Alta Rd, San Diego, CA 92179-0001 | 2019-09-27 |
| 1689184905 | Rushton Arthur Backer | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2017-10-02 |
| 1285164269 | Colleen Marie Strahan | Pharmacist | 480 Alta Rd, San Diego, CA 92179-0001 | 2017-06-13 |
| 1356892491 | Lacey Levitt | Psychologist | 480 Alta Rd, R.j. Donovan Correctional Facility, San Diego, CA 92179-0001 | 2016-10-24 |
| 1609228436 | Heather Mcgee | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2016-07-05 |
| 1386095453 | Shannon Moore | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2016-06-29 |
| 1033565049 | Joneka Clayton | Social Worker | 480 Alta Rd, San Diego, CA 92179-0001 | 2016-05-09 |
| 1740642560 | Jennifer Zehe | Student in an Organized Health Care Education/Training Program | 480 Alta Rd, San Diego, CA 92179-0001 | 2016-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169005 | Corrections and Rehabilitation | Pharmacy | 481 Alta Road, Facility E, Facility Support Building, Room A161, San Diego, CA 92179 | 2020-03-12 |
| 1508104928 | Paul Hippaka | Social Worker | 408 Alta Road, San Diego, CA 92179 | 2013-01-18 |
| 1205462769 | Corrections and Rehabilitation | Pharmacy | 480 Alta Road, Pharmacy Building Room 122, San Diego, CA 92179 | 2020-03-17 |
| 1104343946 | Ruth Ann Villasenor | Social Worker | 480 Alta Road, San Diego, CA 92179 | 2017-08-23 |
| 1063657385 | Charles Fielding Marsh | Psychiatry & Neurology | 480 Alta Road, San Diego, CA 92179 | 2008-12-16 |
| 1932374238 | John Charles Preston IIi | Psychiatry & Neurology | 480 Alta Road, San Diego, CA 92179 | 2008-04-28 |
| 1730351370 | Malvern C Holland Jr. | Psychologist | 480 Alta Road, R.j. Donovan Correctional Facility, San Diego, CA 92179-0001 | 2008-03-24 |
| 1902171614 | Alan Greg Springer | Pharmacist | 480 Alta Road, San Diego, CA 92179-0001 | 2012-03-13 |
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124545454 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4465 La Jolla Village Dr Ste H-5, San Diego, CA 92122-1218 | 2017-08-28 |
| 1114478187 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7017 Friars Rd, San Diego, CA 92108-1129 | 2016-10-14 |
| 1174882294 | Rachelle Marie Keltner, An Optometry Corp | Eyewear Supplier (Equipment, not the service) | 7875 Highland Village Pl, Ste. B-102, San Diego, CA 92129-5189 | 2012-05-09 |
| 1023208287 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 9560 Ridgehaven Ct, San Diego, CA 92123-1668 | 2007-07-25 |
| 1730228305 | For Eyes Optical of Ca | Eyewear Supplier (Equipment, not the service) | 3689 Midway Dr, Suite D, San Diego, CA 92110-5265 | 2007-02-06 |
| 1962556902 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1640 Camino Del Rio N, Mission Valley Ctr Ste #200, San Diego, CA 92108-1506 | 2007-01-23 |
| 1306996673 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 8730 Rio San Diego Dr, San Diego, CA 92108-5500 | 2007-01-11 |
| 1528118833 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 12080 Carmel Mountain Rd, San Diego, CA 92128-4605 | 2007-01-11 |
| 1174673495 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 7655 Clairemont Mesa Blvd, Sears Essentials, San Diego, CA 92111-1534 | 2007-01-11 |
| 1760547731 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 4595 Clairemont Dr, Clairemont, San Diego, CA 92117-5540 | 2006-12-27 |
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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.