NPIMap

Organization Active NPI

Sierra Vista - North

  • Community/Behavioral Health Agency
  • Newcastle, CA
National Provider Identifier
1063539609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SIERRA VISTA - NORTH
Practice address
645 Kentucky Greens Way
Newcastle, CA 95658
Phone
(916) 415-4400
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maureen F Bauman
Title
Director of Adult System of Care
Phone
(530) 889-7256

Specialties & licenses 1

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

Addresses

Primary practice location

645 Kentucky Greens Way
Newcastle, CA 95658

Mailing address

645 Kentucky Greens Way
Newcastle, CA 95658
Phone (916) 415-4400

Other identifiers 1

IdentifierTypeStateIssuer
3186OtherCASTATE OF CA MENTAL HEALTH

Other names 1

  • County of Placer Other name

National Provider Directory

National Provider Directory
Tax ID family
Placer County23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

645 Kentucky Greens Way
Newcastle, CA 95658
Phone (916) 415-4400

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063539609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 KENTUCKY GREENS WAY",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "95658",
            "telephone_number": "916-415-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 KENTUCKY GREENS WAY",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "95658",
            "telephone_number": "916-415-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA - NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR OF ADULT SYSTEM OF CARE",
        "authorized_official_telephone_number": "530-889-7256"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CA MENTAL HEALTH",
            "identifier": "3186",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County of Placer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newcastle, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.