NPIMap

Organization Active NPI

County of El Dorado

  • Community/Behavioral Health Agency
  • Placerville, CA
National Provider Identifier
1053839092
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF EL DORADO
Practice address
3057 Briw Road
Suite a
Placerville, CA 95667
Phone
(530) 621-6146
Fax
(530) 295-2596
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Salina Marie Drennan
Title
Suds Program Administrator/Manager
Phone
(530) 621-6207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3057 Briw Road
Suite a
Placerville, CA 95667

Mailing address

929 Spring St
Placerville, CA 95667-4543
Phone (530) 621-6207

Other names 1

  • Alcohol and Drug Program-Briw Rd Other name

National Provider Directory

National Provider Directory
Tax ID family
El Dorado County Ambula22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

3057 Briw Rd
Ste A
Placerville, CA 95667
Phone (530) 621-6146

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1053839092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SPRING ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674543",
            "telephone_number": "530-621-6207",
            "fax_number": "530-295-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 BRIW ROAD",
            "address_2": "SUITE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-621-6146",
            "fax_number": "530-295-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF EL DORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "DRENNAN",
        "authorized_official_first_name": "SALINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SUDS PROGRAM ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "530-621-6207"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcohol and Drug Program-Briw Rd",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Alcohol and Drug Program-Briw Rd",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.