CHW MEDICAL FOUNDATION (NPI# 1386778165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386778165 |
| Entity Type | Organization |
| Organization Name | CHW MEDICAL FOUNDATION |
| Other Organization Name | JUVENILE JUSTICE INSTITUTIONS, A SERVICE OF CHW MEDICAL FOUNDATION |
| Practice Address |
9601 Kiefer Blvd Sacramento CA 95827-3818 |
| Mailing Address |
3160 Folsom Blvd Sacramento CA 95816-5219 |
| Practice Telephone | 9168768864 |
| Practice Fax Number | 9168755191 |
| Mailing Telephone | 9167335336 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | TOM LOWRY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9163792833 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHW MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | COUNTY | 8411 | 01 |
| Other Name | Type Code |
|---|---|
| Juvenile Justice Institutions, a Service of CHW Medical Foundation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093921009 | Chw Medical Foundation | Clinic/Center | 3066 Freeport Blvd, Sacramento, CA 95818-4349 | 2007-05-15 |
| 1366576308 | Chw Medical Foundation | Clinic/Center | 5709 Marconi Ave Ste A, Carmichael, CA 95608-4472 | 2007-03-14 |
| 1851691042 | Chw Medical Foundation | Clinic/Center | 1321 Cottonwood St, Woodland, CA 95695-5131 | 2010-10-22 |
| 1881994085 | Chw Medical Foundation | Clinic/Center | 515 Fairchild Ct, Woodland, CA 95695-5164 | 2010-10-22 |
| 1942430566 | Chw Medical Foundation | Clinic/Center | 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9636 | 2009-07-16 |
| 1922238542 | Chw Medical Foundation | Clinic/Center | 3427 Robin Ln, Suite 100, Cameron Park, CA 95682-7254 | 2009-07-16 |
| 1508096132 | Chw Medical Foundation | Clinic/Center | 3581 Palmer Dr, Suite 402, Cameron Park, CA 95682-8236 | 2009-07-16 |
| 1740429182 | Chw Medical Foundation | Clinic/Center | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2009-02-09 |
| 1881711547 | Chw Medical Foundation | Clinic/Center | 239 W Court St, Woodland, CA 95695-2900 | 2007-03-26 |
| 1073647020 | Chw Medical Foundation | Clinic/Center | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-03-14 |
| Street Address |
9601 KIEFER BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104938067 | Steven S O'brien | Marriage & Family Therapist | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2006-08-31 |
| 1508182643 | Maria Navidad Loya | Recreation Therapist | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2010-04-14 |
| 1619201266 | County of Sacramento | Clinic/Center | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2009-09-30 |
| 1144455320 | Heather Ann Wright | Recreation Therapist | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2009-05-18 |
| 1275784225 | Anika Gerard Hoff | Social Worker | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2008-10-08 |
| 1710166376 | Craig Richard Brandum | Recreation Therapist | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2007-10-31 |
| 1780807339 | Margaret Waddington Thompson | Nurse Practitioner | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2007-04-11 |
| 1265655211 | Linda Lee Eldred | Pediatrics | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2007-04-10 |
| 1184847097 | Rosalind K Pierce | Internal Medicine | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2007-04-10 |
| 1033231345 | Eileen Clorinda Ramirez | Social Worker | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467898106 | Reset Youth Treatment Enterprises | Clinic/Center | 3725 Marysville Boulevard, Suite 337, Sacramento, CA 95838 | 2013-05-21 |
| 1427325240 | Sacramento Children's Home | Clinic/Center | 2751 Wilmington Ave, Sacramento, CA 95820 | 2011-11-22 |
| 1225356819 | County of Sacramento | Clinic/Center | 2140 Stockton Blvd, Sacramento, CA 95817-1337 | 2010-05-07 |
| 1255537536 | River Oak Center for Children | Clinic/Center | 1238 S Street, Sacramento, CA 95814 | 2007-06-25 |
| 1992913883 | Heartland Child & Family Services | Clinic/Center | 477 Las Palmas Ave, Sacramento, CA 95815-1605 | 2007-05-21 |
| 1093921009 | Chw Medical Foundation | Clinic/Center | 3066 Freeport Blvd, Sacramento, CA 95818-4349 | 2007-05-15 |
| 1932314184 | Asian Pacific Community Counseling | Clinic/Center | 7273 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2007-05-11 |
| 1598811952 | River Oak Center for Children | Clinic/Center | 2751 9th Ave, Sacramento, CA 95818-4406 | 2007-01-26 |
| 1780730143 | River Oak Center for Chilren | Clinic/Center | 7322 Florinda Way, Sacramento, CA 95828-4015 | 2007-01-26 |
| 1730234907 | River Oak Center for Children | Clinic/Center | 4322 4th Ave, Sacramento, CA 95817-3023 | 2007-01-25 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
Please comment or provide details below to improve the information on CHW MEDICAL FOUNDATION.
| 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.