Organization Active NPI

Buddys Ranch LLC

Doing business as Buddys Ranch

  • Adult Mental Health Clinic/Center
  • Yuba City, CA
National Provider Identifier
1053146076
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BUDDYS RANCH LLC
Doing business as
Buddys Ranch
Practice address
1303 Gray Ave
Yuba City, CA 95991-3204
Phone
(530) 632-8219
Fax
(916) 500-0609
NPI assigned
Sep 9, 2024
Organization subpart
Yes
Parent organization
BUDDYS RANCH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Thomas Harris
Title
Cfo
Phone
(530) 632-8219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1303 Gray Ave
Yuba City, CA 95991-3204

Mailing address

PO Box 802
Yuba City, CA 95992-0802
Phone (530) 632-8219

Other practice location 1

1352 Colusa Hwy Ste 200
Yuba City, CA 95993-9147
Phone (530) 632-8219

Other names 1

  • Buddys Ranch Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Buddys Ranch LLC15 organizations share this tax ID, including this one
Part of
Buddys Ranch LLC

Other organizations with this tax ID 14

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

View all 14

Locations

1303 Gray Ave
Yuba City, CA 95991

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1053146076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959920802",
            "telephone_number": "530-632-8219",
            "fax_number": "916-500-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 GRAY AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913204",
            "telephone_number": "530-632-8219",
            "fax_number": "916-500-0609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1352 Colusa Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959939147",
            "country_code": "US",
            "telephone_number": "530-632-8219",
            "fax_number": "916-500-0609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUDDYS RANCH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUDDYS RANCH LLC",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-632-8219"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buddys Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.