Main Ranch

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MAIN RANCH

Practice address

6526 Main Ave
Orangevale, CA 95662-4312

Phone

(916) 987-0822

Fax

(916) 988-5837

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Eduardo P Baltazar

Title

Administrator

Phone

(916) 293-1500

Specialties & licenses 1

Addresses

Tax ID family

Eec Baltazar 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.

• Eec Baltazar Corporation

  • Alzheimer Center (Dementia Center)
  • Orangevale, CA
  • NPI 1477735892
  NPD tax ID

Locations

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1033397385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 SANTA JUANITA AVE",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956622832",
            "telephone_number": "916-293-1500",
            "fax_number": "916-988-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6526 MAIN AVE",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624312",
            "telephone_number": "916-987-0822",
            "fax_number": "916-988-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "BALTAZAR",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-293-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celine Llamas
• Peter D Lopresti, DC
• Lynch Company Home Services
• Jason Allen Mack, D.C.
• Theresa Dolores Magee, PT
• Natalya Makoyed I
• Camille Marcello
• Bree J Marestin
• Mariano Nursing Inc
• Jason Gerard Marine Jr.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Orangevale, CA
• Providers in Orangevale, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.