California Human Development Corporation

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CALIFORNIA HUMAN DEVELOPMENT CORPORATION

Practice address

900 Hopper St
Petaluma, CA 94952-3388

Phone

(707) 765-6530

Fax

(707) 546-1937

NPI assigned

Sep 26, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Dana J Alvarez

Title

Program Director

Phone

(707) 523-2242

Specialties & licenses 1

Addresses

Tax ID family

California Human Development Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• California Human Development Corporation

  • Substance Abuse Rehabilitation Facility
  • Guerneville, CA
  • NPI 1679882047
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1023567427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 AIRWAY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032005",
            "telephone_number": "707-523-2242",
            "fax_number": "707-546-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOPPER ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523388",
            "telephone_number": "707-765-6530",
            "fax_number": "707-546-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA HUMAN DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "707-523-2242",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jing Cai
• Alexandra Maritza Caldeira
• Juan Luiz Calderon
• Grace Harley Caldwell
• Heather Lyn Caldwell
• Letha Danielle Callahan
• Andrew Callan, D.P.T
• Ileanna Raquel Cambero
• Caitlin Camill, REGISTERED DIETITIAN
• Heather Marie Campbell, ATC

• Substance Abuse Rehabilitation Facility in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.