VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM (NPI# 1871539783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871539783 |
| Entity Type | Organization |
| Organization Name | VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM |
| Practice Address |
5342 Dudley Blvd Mcclellan CA 95652-1012 |
| Practice Telephone | 9165617520 |
| Practice Fax Number | 9165617529 |
| Mailing Telephone | 9165617520 |
| Mailing Fax Number | 9165617529 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-08-17 |
| Authorized Official Name | MRS. GERARDA W PERSAD (SOCIAL WORKER) |
| Authorized Official Telephone | 9165617520 |
| Authorized Official Credential | MSSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | KY 3114 | KY | Managed Care Organizations |
| Street Address |
5342 DUDLEY BLVD |
| City | MCCLELLAN |
| State | CA |
| Zip Code | 95652-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127457 | James Michael Ward | Internal Medicine | 5342 Dudley Blvd, Mcclellan Satellite Clinic, Mcclellan, CA 95652-1012 | 2005-10-11 |
| 1376182121 | Elena Lanin | Registered Nurse | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-12-26 |
| 1538702881 | Tara Ann Miskovich | Psychologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-10-18 |
| 1437622420 | Dominique Talley | Social Worker | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2019-01-02 |
| 1518489780 | Jane Grabowski | Audiologist | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2017-07-10 |
| 1033528963 | Valerie Christian | Nurse Practitioner | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2014-08-05 |
| 1760812275 | Michelle Stephens | Audiologist | 5342 Dudley Blvd, Va Mcclellan Audiology, Mcclellan, CA 95652-1012 | 2013-11-19 |
| 1780950394 | Kathryn Irene Daniels | Internal Medicine | 5342 Dudley Blvd, Mcclellan, CA 95652 | 2012-03-28 |
| 1104196930 | Mae Ruth Doctor | Nurse Practitioner | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2012-01-11 |
| 1225314503 | Glenda Fe Jimenez | Registered Nurse | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2011-10-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548688955 | Wenxia Han | Registered Nurse | 3401 Beech St, Bldg 949, Mcclellan, CA 95652 | 2014-04-02 |
| 1902231897 | Marisa Salas Silva | Social Worker | 3401 Beech Street, Bldg 949, Mcclellan, CA 95652 | 2013-09-10 |
| 1295070290 | Stephanie Ann Bost | Dietitian, Registered | 3401 Beech St., Mcclellan, CA 95652 | 2012-12-01 |
| 1811276025 | Brian C Choi | Dentist | 5401 Arnold Avenue, Bldg. 88, Sacramento, CA 95652 | 2011-08-05 |
| 1154408391 | California Shock Trauma Air Rescue | Ambulance | 4933 Bailey Loop, Mcclellan, CA 95652 | 2006-11-01 |
| 1083704530 | Gerald Yang | Dentist | 5401 Arnold Avenue, Sacramento, CA 95652 | 2006-10-13 |
| 1104910652 | Ann Marie Mullen | Audiologist | 5342 Dudley Blvd., Sacramento, CA 95652 | 2006-10-02 |
| 1831174556 | Mark A Duckett | Dentist | 4101 Arnold Ave, Va /mcclellan Dental Service, Scramento, CA 95652 | 2005-12-15 |
| 1073596581 | Jane P Addagatla | Internal Medicine | Va Mcclellan Opc, 5342 Dudley Blvd,bldg 98, Mcclellan Park, CA 95652 | 2005-11-29 |
| 1528518321 | Dana Kirkwood Adkins | Social Worker | 3401 Beech Street, Building 949, Room #225, Mcclellan, CA 95652 | 2016-10-05 |
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| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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| 1548883788 | Careplan Ipa, Inc | Health Maintenance Organization | 18000 Studebaker Road, Suite 100, Cerritos, CA 90703-7929 | 2020-05-22 |
| 1982227450 | Zeev Neumeier | Health Maintenance Organization | 1691 Ward St, Berkeley, CA 94703-1827 | 2020-05-19 |
| 1669009247 | Doctor's Managed Ipa, Inc | Health Maintenance Organization | 4959 Palo Verde St Ste 101b, Montclair, CA 91763-2331 | 2020-03-24 |
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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.