Nor Cal Trauma Healing Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NOR CAL TRAUMA HEALING CENTER

Practice address

5740 Windmill Way Ste 8
Carmichael, CA 95608-1379

Phone

(279) 202-8113

Fax

(916) 251-1148

NPI assigned

Sep 28, 2020

Organization subpart

No

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

Authorized official

Name

Victor Urrego-Vallowe, LCSW CCSP-ADHDNPI 1912391632

Title

Chief Financial Officer

Phone

(279) 202-8113

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Victor Urrego-Vallowe, LCSW

  • Clinical Social Worker
  • Sacramento, CA
  • NPI 1912391632
  NPD Authorized official

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1053928606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 WINDMILL WAY STE 8",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081379",
            "telephone_number": "279-202-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 WINDMILL WAY STE 8",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081379",
            "telephone_number": "279-202-8113",
            "fax_number": "916-251-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Godello Ct",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958334400",
            "country_code": "US",
            "telephone_number": "916-256-7107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOR CAL TRAUMA HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "URREGO-VALLOWE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "279-202-8113",
        "authorized_official_credential": "LCSW CCSP-ADHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100192313",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "address_1": "6 Godello Ct",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958334400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Gloria Jean Nollie, DDS, MCLD
• North Area Physical Therapy and Aquatic Therapy
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• Northern California Orthopedic Centers Medical Group
• Northern Lights Transport
• Alexandra Caroline Northern, M.A.

• Clinical Social Worker in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.