STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES (NPI# 1588615835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588615835 |
| Entity Type | Organization |
| Organization Name | STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES |
| Other Organization Name | PORTERVILLE DEVELOPMENTAL CENTER |
| Practice Address |
26501 Avenue 140 Porterville CA 93257-9109 |
| Mailing Address |
1600 9th Street Cfs: Rm206, Ms2-3 Sacramento CA 95814 |
| Practice Telephone | 5597822222 |
| Practice Fax Number | 5597825630 |
| Mailing Telephone | 9166542289 |
| Mailing Fax Number | 9166543186 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2017-10-02 |
| Authorized Official Name | MR. JOHN A DOYLE (CHIEF DEPUTY DIRECTOR) |
| Authorized Official Telephone | 9166541897 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282E00000X | Long Term Care Hospital | 40000188 | CA | Hospitals |
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 40000188 | CA | Nursing & Custodial Care Facilities |
| N | 314000000X | Skilled Nursing Facility | 40000188 | CA | Nursing & Custodial Care Facilities |
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | 40000188 | CA | Nursing & Custodial Care Facilities |
| N | 333600000X | Pharmacy | 40000188 | CA | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
HPE19554 | CA | Suppliers |
| Y | 282N00000X | General Acute Care Hospital | 40000188 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| PORTERVILLE DEVELOPMENTAL CENTER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730130071 | State of California - Department of Developmental Services | General Acute Care Hospital | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2006-05-12 |
| 1730130097 | State of California - Department of Developmental Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69696 Ramon Rd, Cathedral City, CA 92234-3353 | 2006-05-12 |
| 1841241130 | State of California - Department of Developmental Services | Nursing Facility/Intermediate Care Facility | 1251 Stabler Ln, Yuba City, CA 95993-2616 | 2006-05-12 |
| 1225089592 | State of California - Department of Developmental Services | Long Term Care Hospital | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-05-12 |
| 1154372498 | State of California - Department of Developmental Services | Nursing Facility/Intermediate Care Facility | 3530 Pomona Blvd, Pomona, CA 91768-3238 | 2006-05-12 |
| 1093085565 | State of California - Department of Developmental Services | Clinic/Center | 3530 W Pomona Blvd, Pomona, CA 91768-3238 | 2011-12-30 |
| 1982990206 | State of California - Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | 26501 Avenue 140, Porterville, CA 93257-9109 | 2011-06-24 |
| 1851344220 | State of California - Department of Developmental Services | Long Term Care Hospital | 15000 Arnold Drive, Eldridge, CA 95431-1493 | 2006-05-18 |
| Street Address |
26501 AVENUE 140 |
| City | PORTERVILLE |
| State | CA |
| Zip Code | 93257-9109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568009561 | Jonathon David Baird | Psychologist | 26501 Avenue 140, Porterville, CA 93257-9109 | 2019-12-09 |
| 1972149706 | Sukhjit K Mann | Psychologist | 26501 Avenue 140, Porterville, CA 93257-9109 | 2019-11-27 |
| 1053781559 | Elaine Newborg | Psychologist | 26501 Avenue 140, Porterville, CA 93257-9109 | 2015-09-28 |
| 1255762332 | Garry Miller | Psychologist | 26501 Avenue 140, Porterville Developmental Center, Porterville, CA 93257-9109 | 2013-11-27 |
| 1194060673 | Meri Coleman | Psychologist | 26501 Avenue 140, Porterville, CA 93257-9109 | 2012-12-10 |
| 1811232895 | Elise Gina Devecchio-cavagnaro | Psychologist | 26501 Avenue 140, Porterville, CA 93257-9109 | 2012-12-03 |
| 1225372394 | Cynthia Mckenzie | Psychologist | 26501 Avenue 140, Porterville, CA 93257-9109 | 2012-11-15 |
| 1174877252 | Yung-chung Wong | Psychologist | 26501 Avenue 140, Porterville Developmental Center, Porterville, CA 93257-9109 | 2012-10-29 |
| 1982990206 | State of California - Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | 26501 Avenue 140, Porterville, CA 93257-9109 | 2011-06-24 |
| 1356634562 | Jessica Lynne Jones Steed | Psychologist | 26501 Avenue 140, Porterville, CA 93257-9109 | 2011-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140727 | Marilu Lemos | Student in an Organized Health Care Education/Training Program | 1055 W. Henderson Ave, Suite 2, Porterville, CA 93257 | 2020-06-30 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1639704182 | Ria Mehta | Occupational Therapist | Sierra Valley Rehab Center, 301 W Putnam Avenue, Porterville, CA 93257 | 2020-03-05 |
| 1659928653 | Jennifer Ramirez | Technician | 1166 San Carlos St, Porterville, CA 93257 | 2019-08-23 |
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1679065189 | William Vanlandingham | Health Educator | 333 W Henderson Ave, Porterville, CA 93257 | 2018-05-31 |
| 1982111209 | Samantha Kaitlyn Crowley | Counselor | 117 W Henderson Ave Ste 1, Porterville, CA 93257 | 2018-01-08 |
| 1538688023 | Jason Reyes | Physician Assistant | 305 E Poplar Ave, Porterville, CA 93257 | 2017-09-15 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1467998849 | Justine Hallas | Nurse Practitioner | 590 Putnam Ave, Porterville, CA 93257 | 2017-01-10 |
| Find all providers in zip 93257 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073736443 | Sierra View Local Health Care District | General Acute Care Hospital | 465 West Putnam Avenue, Porterville, CA 93257-3320 | 2007-04-11 |
| 1639143381 | Sierra View Local Health Care District | General Acute Care Hospital | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2006-02-16 |
| 1902236607 | Sierra View Medical Center | General Acute Care Hospital | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2013-11-15 |
| 1255506796 | Sierra View Local Health Care District | General Acute Care Hospital | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2008-04-25 |
| 1982827358 | Sierra View Local Health Care District | General Acute Care Hospital | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
| Find all providers with the same taxonomy | ||||
| City | PORTERVILLE |
| Zip Code | 93257 |
Please comment or provide details below to improve the information on STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES.
| 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.