STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY (NPI# 1588871669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588871669 |
| Entity Type | Organization |
| Organization Name | STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY |
| Practice Address |
2100 Peabody Road Vacaville CA 95687 |
| Mailing Address |
Po Box 127 Napa CA 94559-0127 |
| Practice Telephone | 7074510182 |
| Enumeration Date | 2007-05-17 |
| 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 | PIA000104 | 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 |
| 1649487729 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 23370 Road 22, Chowchilla, CA 93610 | 2007-05-17 |
| 1356558001 | State of California Prison Industry Authority | Eyewear Supplier (Equipment, not the service) | 480 Alta Rd, San Diego, CA 92179-0001 | 2007-05-16 |
| Street Address |
2100 PEABODY ROAD |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942365358 | Alvaro Cruz Traquina | Surgery | 2100 Peabody Road, Medical Modular, Vacaville, CA 95687 | 2006-12-26 |
| 1124648712 | Corrections and Rehabilitation | Pharmacy | 2100 Peabody Road, Vacaville, CA 95687 | 2020-04-23 |
| 1396150470 | David Schuh | Pharmacist | 2100 Peabody Road, Csp-solano/department of Pharmacy, Vacaville, CA 95696 | 2014-06-26 |
| 1649610627 | Dorann Lee Boulian | Psychologist | 2100 Peabody Road, Vacaville, CA 95695-4000 | 2013-07-05 |
| 1972775336 | Segundina Agustin Yancha | Psychiatry & Neurology | 2100 Peabody Road, Csp Solano, Vacaville, CA 95687 | 2008-03-26 |
| 1730364506 | Paul William Sheeran | Dentist | 2100 Peabody Road, Vacaville, CA 95087 | 2007-12-29 |
| 1821272733 | Rita Dacia Mcintyre | Dentist | 2100 Peabody Road, Vacaville, CA 95696-4000 | 2007-12-27 |
| 1356548119 | Khin Mg Win | Internal Medicine | 2100 Peabody Road, Vacaville, CA 95696-4000 | 2007-06-27 |
| 1437355476 | Kathleen Anne Mahon Howe | Nurse Practitioner | 2100 Peabody Road, Vacaville, CA 95696 | 2007-06-26 |
| 1720297575 | Tesie Rafael Rallos | Internal Medicine | 2100 Peabody Road, Vacaville, CA 95686 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311815 | Azul Center for Integration | Community/Behavioral Health | 186 Isle Royal Circle, Vacaville, CA 95687 | 2020-09-16 |
| 1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
| 1972165249 | Jean Callaghan-hoskins | Behavior Technician | 614 Harvard Ave, Vacaville, CA 95687 | 2019-07-08 |
| 1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
| 1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
| 1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
| 1467715177 | Patrick Fisher | Urology | 770 Mason Sst, Vacaville, CA 95687 | 2012-06-18 |
| 1285991968 | Tshering Wangmo Bhutia | Psychiatry & Neurology | 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 | 2012-04-18 |
| 1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
| 1346527074 | Jason Michael Vojkufka | Physical Therapist | 585 Nut Tree Court, Vacaville, CA 95687 | 2011-11-09 |
| Find all providers in zip 95687 | ||||
| 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 |
|---|---|---|---|---|
| 1427448018 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1051 Hume Way, Vacaville, CA 95687-5558 | 2015-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902488 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 300 E Colorado Blvd Ste 128, Pasadena, CA 91101-2267 | 2020-11-02 |
| 1700485562 | Vision Faire Optometry, Inc. A Professional Optometric Corporation | Eyewear Supplier (Equipment, not the service) | 4213 Dale Rd Ste A-2, Modesto, CA 95356-8505 | 2020-10-22 |
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1295333029 | Tiger & Lion Inc | Eyewear Supplier (Equipment, not the service) | 1251 S Beach Blvd Ste F, La Habra, CA 90631-6397 | 2020-10-14 |
| 1245866565 | Joshua Adolfo Velasquez | Eyewear Supplier (Equipment, not the service) | 849 N Ridgewood Pl, Los Angeles, CA 90038-4302 | 2020-03-18 |
| 1952948424 | Luvc LLC | Eyewear Supplier (Equipment, not the service) | 2223 Carlton Ave, Pomona, CA 91768-1015 | 2019-12-04 |
| 1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
| 1184270746 | Nueyes Technologies Inc | Eyewear Supplier (Equipment, not the service) | 120 Newport Center Dr # 232, Newport Beach, CA 92660-6916 | 2019-08-09 |
| 1881248102 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 12182 1/2 Ventura Blvd, Studio City, CA 91604-2517 | 2019-07-25 |
| 1730732363 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1628 Redwood Hwy Spc D017, Corte Madera, CA 94925-1248 | 2019-07-23 |
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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.